Abstract

A 68-year-old black female with a history of hypertension, type II diabetes mellitus, nephrolithiasis complicated by recurrent pyelonephritis status post lithotripsy and nephroureteral stents, and stage IIIB diffuse large B-cell lymphoma (DLBCL) in complete remission 30 months after completing therapy with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) presented to the emergency department with 3 days of subjective fever, left flank pain, nausea, and vomiting.

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