Case 44-1975

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Abstract
Presentation of CaseA 65-year-old woman was admitted to the hospital because of hematuria and fever.Four days previously she began to have chills and fever, with rise of the temperature to 40.1°C, severe, dull, noncolicky pain in the right flank, gross hematuria, nausea and vomiting. There was no history of a urinary-tract infection, anorexia or weight loss.Forty years before admission pulmonary tuberculosis had been treated by a left pneumothorax. She never received antituberculous drugs. Three years before entry a left radical mastectomy was performed because of an infiltrating ductal carcinoma; one of 11 axillary lymph nodes contained metastatic . . .
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