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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 …
Contributors RA and GN were involved in collecting the clinical images and drafted the manuscript. DPD and NS revised the manuscript. All authors read the final draft of manuscript and approved it and were involved in the management of patient during hospital stay.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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