case_images: PMC6169228_01
case_images: CT of abdomen, axial and sagittal views, with findings of multifocal areas of parenchymal infection and necrosis to left kidney*.
case_images: CRIOG2018-8924823.001.jpg
case_images: PMC6169228_01_CRIOG2018-8924823.001.jpg
case_images: fig1
case_images: By PPD9, with continued fevers to 39.3 degrees celsius, abdominal CT imaging was concerning for left renal multifocal infection and parenchymal necrosis (Figure 1).
case_images: Renal parenchyma shows severe acute pyelonephritis with multifocal abscess formation and multifocal renal infarction.
case_images: CRIOG2018-8924823.002.jpg
case_images: PMC6169228_01_CRIOG2018-8924823.002.jpg
case_images: fig2
case_images: PPD10, after Urology and Maternal Fetal Medicine consultations, the patient underwent an open left nephrectomy. Pathology confirmed severe diffuse pyelonephritis, multifocal abscesses, and diffuse parenchymal infarction (Figure 2).