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A 56-y ear-old woman was admitted due to fever,thirst,polydipsia,polyuria,posterior cervical pain and lumbago. Hy pergly cemia and urine white blood cell elevation were detected. Computed tomography showed left perirenal abscess. Urine culture and blood culture revealed Escherichia coli. We diagnosed perirenal abscess followed by pyelonephritis due to untreated diabetes mellitus. We used 6 g of ampicillin-sulbactum daily and from the 10th day 4g of sulfamethoxazole-trimethoprim for perirenaldoi:10.2974/kmj.60.155 fatcat:2tmbb4s7srambcbzcaizwqt2mu