Case 18-1984

Abstract

Presentation of CaseA 32-year-old woman was admitted to the hospital because of proteinuria and impaired renal function.There was a history of episodic flank pain and fever in childhood that resolved spontaneously. As a teenager the patient experienced her first bout of documented urinary-tract infection and was treated with sulfisoxazole. Nine years before admission she entered another hospital because of cystitis and flank pain. An automated scan of 12 blood-chemical determinations was normal. A culture of urine yielded Escherichia coli. An intravenous urographic examination showed that the right kidney was 9 cm, with small calyxes and pelvis, and . . .