A man was brought into the admission room after overexposure to cold. He complains of sharp pain in the small of his back and elevated body temperature up to 38°C. He took some aspirin. Blood test: leucocytes - 10.5 × 1012/L, eosinophils – 5%. band neutrophils – 8%, segmented neutrophils 51%, lymphocytes – 32%, monocytes . 4% erythrocyte sedimentation rate – 28 mm/hour Urinalysis: protein – 0.6 g/L, leukocytes – cover the whole vision field, large amount of mucus. What is the most likely diagnosis?

Answer options

1. Acute pyelonephritis
2. Chronic pyelonephritis
3. Tubulointerstitial nephritis
4. Subacute malignant glomerulonephritis
5. Acute glomerulonephritis

Explanation

A man was brought into the admission room after overexposure to cold. He complains of sharp pain in the small of his back and elevated body temperature up to 38°C. He took some aspirin. Blood test: leukocytes – 10.5 x 1012/L, eosinophils – 5%. band neutrophils – 8%, segmented neutrophils 51%, lymphocytes – 32%, monocytes . 4% erythrocyte sedimentation rate – 28 mm/hour Urinalysis: protein – 0.6 L, leukocytes – cover the whole vision field, large amount of mucus What is the most likely diagnosis?