Category: Visual Diagnosis
32 year-old female presents with 5 days of fever, chills, and flank pain. She is hypotensive on presentation and urinalysis shows pyuria. Click here for the non-contrast CT scan. What's the diagnosis and what type of antibiotics should be started empirically?
Answer: Staghorn caliculi secondary to struvite stone. Broad-spectrum antibiotics to cover anaerobic bacteria should be initiated.
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