Питання 18 з 39

A 78-year-old woman presents to the emergency department for fever and generalized malaise. Her symptoms began several days ago, when she noticed pain with urination and mild blood in her urine. Earlier this morning she experienced chills, flank pain and mild nausea. Her temperature is 38.7°C, blood pressure is 140/80 mm Hg, heart rate is 98/min. Later she dies of unknown cause. At autopsy, her kidney is swollen with punctate abscesses that outlined by a thin red margin (signs of marginal vascular dilation). Microscopic observation reveals a large number of neutrophils. Which of the following is the most likely diagnosis?

1. A Amyloidosis
2. B Acute glomerulonephritis
3. C Nephrolithiasis
4. D Polycystic kidney disease
5. E Acute pyelonephritis

Правильна відповідь: E. Acute pyelonephritis