Case History & Examination

A 45-year-old female presented to the Department of Medicine clinic at a tertiary care referral hospital, Delhi, India with the chief complaints of fever, right loin pain associated with nausea and dysuria since last 5 days. She gave the history of visiting a private clinic 3 weeks earlier with similar complaints and received parenteral antibiotics for the same, to which she responded initially but again developed fever and right flank pain and visited our hospital. She is a known case of Diabetes mellitus and is on regular oral hypoglycemic agents for the last 2 years. She also has a history of recurrent urinary tract infections in the past.