Obstructive Hydronephrosis with Secondary Urosepsis
Shao-Lun Hsu1,2, Hsin-Yi Liu3, Chia-Kwung Fan2
1 Medical Education Department, Taipei Tzuchi University Hospital, New Taipei City, Taiwan
2 Department of Molecular Parasitology and Tropical Diseases, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
3 Division of Infectious Diseases, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan
A 63-year-old male patient presented to the emergency department due to fever, dyspnea, and a one-month history of dyspepsia and body weight loss of 10kg. On examination, decreased blood pressure, costovertebral angle tenderness with left abdominal palpable mass was notable. Laboratory studies revealed leukocytosis and renal dysfunction. Urine analysis showed pyuria, hematuria and proteinuria. There were no reports of dysuria or a decrease in urine output. CT revealed a gross-dilated mass lesion with homogeneous contents.