The triad of elevated SGOT and lactic dehydrogenase levels, positive blood and urine cultures, and acute renal failure was noted in a patient with severe pyelonephritis. Bilateral medullary necrosis was found on biopsy and at postmortem examination. These findings may help establish a prompt antemortem diagnosis.
(Arch Intern Med 138:816-817, 1978)
Adler SN. Nonobstructive Pyelonephritis Initially Seen as Acute Renal Failure. Arch Intern Med. 1978;138(5):816-817. doi:10.1001/archinte.1978.03630290096033