title: Nonobstructive pyelonephritis initially seen as acute renal failure.
abstract: 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.
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis*; D001219:Aspartate Aminotransferases / Q000032:analysis; D003937:Diagnosis, Differential; D004927:Escherichia coli Infections / Q000175:diagnosis*; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000032:analysis; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000175:diagnosis* / Q000209:etiology
chemical_list: D007770:L-Lactate Dehydrogenase; D001219:Aspartate Aminotransferases