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QBDOTW: A 56-year-old Female Recovering at Hospital

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Emily Micheal
QBDOTW: A 56-year-old Female Recovering at Hospital

Question Break Down of the Week:

A 56-year-old female is recovering at the hospital from suspected bacterial pneumonia. Over several days, she develops a fever, rash, dysuria, and urinary urgency. Urinalysis shows a specific gravity of 1.002 with hematuria and mild proteinuria. Renal biopsy shows partial effacement of the tubulointerstitial structures with pronounced edema and infiltration of the interstitium with polymorphonuclear leukocytes, eosinophils, and lymphocytes with papillary necrosis. What is most likely to have caused this condition?

A)  Antibiotics
B)  Chronic hypertension
C)  Lead ingestion
D)  Multiple myeloma
E)  Wegener’s granulomatosis

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Emily Micheal
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