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A 25-year-old woman has been hospitalized for treatment of a staphylococcus aureus abscess of her left
thigh complicating a puncture wound. The wound is incised and drained and she receives antibiotic therapy.
She is improving and discharged home a week later, but the next day she develops a fever. On physical
examination her temperature is 38.1 C and there is a diffuse erythematous skin rash of her trunk and
extremities. A urinalysis shows specific gravity 1.020, pH 6.5, 1+ blood, 1+ protein, no glucose, and no
ketones. There are 10-20 WBCs/hpf and 1-5 RBCs/hpf, and a few eosinophils are noted on urine microscopic
examination. Which of the following is the most likely diagnosis?
O a. Hemolytic-uremic syndrome
b. Drug-induced interstitial nephritis
O c. Acute tubular necrosis
O d. Post-infectious glomerulonephritis
Oe. Urinary tract infection
O f. Analgesic abuse nephropathy
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