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A 54-year-old diabetic woman presented to emergency department with high-grade fever, chills and left lumbar pain for 10 days duration. She had tenderness in left lumbar region and hypotension (blood pressure 90/60 mm Hg). Investigations showed anaemia (haemoglobin 8.1 g/dL), leucocytosis (24.3 x 109/L), numerous pus cells in urine microscopy and normal renal functions (creatinine 1.3 mg/dL). Plain radiograph of abdomen showed reniform air shadow in the left lumbar region (arrow …
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