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General Medicine General 27485d4f

A 5-year-old girl without past history of UTI is in the hospital on antibiotics for E coli pyelonephritis. She is still febrile after 4 days of appropriate antibiotics. A renal ultrasound revealed no abscess, but a focal enlargement of one of the lobes of the right kidney. CT scan of the abdomen reveals a wedge-shaped area in the right kidney distinct from the normal tissue with minimal contrast enhancement. Appropriate management of this patient includes which of the following interventions?

A
Prolonged antibiotic therapy
B
Routine treatment with 10 to 14 days of antibiotics for pyelonephritis
C
Surgical consultation
D
Dimercaptosuccinicacid (DMSA) scan

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