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Case Reports
. 2022 Nov-Dec;32(6):611-614.
doi: 10.4103/ijn.IJN_93_20. Epub 2022 Dec 1.

An Unusual Case of High-Grade Non-Hodgkin Lymphoma Masquerading as Acute Pyelonephritis with Acute Kidney Injury

Himansu Sekhar Mahapatra  1 , Navjot Kaur  1 , Arvind Ahuja  2 , D P Kushal  1
Affiliations
Case Reports

An Unusual Case of High-Grade Non-Hodgkin Lymphoma Masquerading as Acute Pyelonephritis with Acute Kidney Injury

Himansu Sekhar Mahapatra et al. Indian J Nephrol. 2022 Nov-Dec.

Abstract

Renal involvement in non-Hodgkin lymphoma (NHL) has myriad of morphological features. We discuss an unusual case who presented as acute pyelonephritis (leucocytosis and acute kidney injury), ovarian mass and compressive myelopathy finally diagnosed as Non Hodgkins Lymphoma.

Keywords: Acute pyelonephritis; leucocytosis; non hodgkin lymphoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) CECT abdomen suggestive of heterogeneously enhancing solid mass measuring 6.5 × 4.8 × 4.8 cm in pelvis arising from left ovary. (b) gross specimen of left ovary measuring 6 × 5 × 3 cm showing enlarged ovary with attached fallopian tube. (c) ovarian mass histology showing atypical cells which are highly pleomorphic and show hyperchromatic nucleus with coarse chromatin. (d) long segment infiltrating lesion in right epidural space extending from D4 to D10 vertebral level. (e) renal histology showing normal glomerulus. (f and g) PET CT showing increased uptake in bone marrow
See this image and copyright information in PMC

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