SH005 45 year Old Presents with Flank Pain and a Fever CT – Pyelitis Gas Hydronephrosis Candida45-year-old male diabetic presents with flank pain and fever. CT shows gas bubbles in the inflamed left renal pelvis with hyperemic urothelium, associated with a fluid collection – likely an abscess in the renal hilum. In addition, there is mild hydronephrosis, a swollen left kidney and mild delay in the nephrogram. There is induration of Gerota’s fascia and the lateral conal fascia Culture of the urine revealed extensive growth of candidaAshley Davidoff MD TheCommonVein.net 15816c Note premature atherosclerosis It was candida and the theory of the gas was that it was a yeast that produced gas