A 69-year-old renal-transplant recipient with low-grade fever and multiple pulmonary nodules

Article Abstract:

A case of terminal kidney disease in a 69-year-old woman with a history of hypertension and a kidney transplant is presented. Clinical and pathological examinations revealed that she had a bacterial infection called nocardiosis in her lungs, skin, and heart. The infection also affected her kidney transplant.

United States, Care and treatment, Complications and side effects, Transplantation of organs, tissues, etc., Organ transplantation, Tissue transplantation, Transplantation, Acute renal failure, Acute kidney failure, Glomerulonephritis

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A 19-year-old man with fever, abdominal pain, anemia and a left renal mass. (Case 38-1989)

Article Abstract:

A 19-year-old man came to the hospital with fever, left upper abdominal pain, lower back pain, chills and weight loss. He was suspected of having a urinary tract infection and was treated with antibiotics. The patient's symptoms persisted and he developed nausea and vomiting as well as increased pain and fever. He was found to have a low red blood cell count. The patient's history revealed that he and his family had a recent episode of furuncles, a staphylococcal bacterial infection causing painful swellings on the skin. There was also a questionable history of kidney stones. A computerized tomography (CT) scan (used to visualize internal structures) showed a mass in the upper left kidney. Biopsy of the kidney mass was negative for cancerous cells, but did indicate a staphylococcus infection. There was no improvement with antibiotic therapy and surgery was recommended. The kidney was removed and on examination was found to contain pus and yellow nodules. The diagnosis was confirmed to be renal carbuncle (kidney abscess) due to staphylococcus aureus bacterial infection with associated xanthogranulomatous pyelonephritis, a fatty granular tumor of the kidney.

Research, Staphylococcus aureus, column, Carbuncle, Richie, Jerome P., Eichhorn, John H.

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A 38-year-old man with fever, cough, and a pleural effusion

Article Abstract:

A 38-year-old man was admitted to a hospital with fever and cough. He was a native of Honduras who had moved to the US 3 years before his hospitalization. Seven weeks before hospitalization he had tested positive for tuberculosis. A chest X-ray revealed an accumulation of fluid in his left lung. Analysis of fluid samples retrieved by needle biopsy confirmed the presence of the bacterium that causes tuberculosis. An accumulation of fluid in the lung normally occurs from 3 to 12 months after infection. This indicates that he contracted tuberculosis in the US.

Tuberculosis, Pleural effusions, Pleural effusion

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