8th July 2024

A 28-year-old female presents with fever, loin pain & haematuria for 2 days

A 28-year-old female presents with fever, loin pain & haematuria for 2 days. She is known to have Sickle cell anaemia. Investigations show: Hb 95 g/L (115-165), WBC 13.4×10⁹/L (4-11), Neutrophils 9.9×10⁹/L (2-8), Platelets 205×10⁹/L (150-400), Na 138 mmol/L (135-145), K 4.4 mmol/L (3.5-5), Urea 8.2mmol/L (2.5-7.5), Creatinine 135 μmol/L (60-110), CRP 28 mg/L (<5). Urine Dipstick Showed 1+ protein, 2+ Blood. CT KUB showed bilateral mild-to-moderate hydronephrosis but no calculi in the urinary tract.

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