| A 58-year-old sub-Saharan patient came to the emergency department complaining of sweating and fever with left lumbar pain, flank heaviness on that side and dysuria for about 15 days. | |
| His personal history did not reveal any transcendental pathology: No DM. | |
| No hypertension. | |
| No known allergies. | |
| Ex-smoker 8 years old. | |
| No hematuria. | |
| No cramps. | |
| No UTIs. | |
| fever occasionally, sweating, heaviness in the left flank with low back pain on the same side and voiding symptoms with acceptable flushing, dysuria, diurnal urgency | |
| The physical examination showed an abdominal mass effect on the left flank due to deep fixation, Tacto Rectal: grade I-II without metastatic lesions. | |
| Complementary tests showed normal blood count with signs of Eosinophilia. | |
| Normal biochemistry. | |
| A normal urine test was negative. | |
| Rx urinary genito apparatus had a mass effect on the left flank that erased the psoas line on that side. | |
| Renal ultrasound: multiple cysts in the left kidney. | |
| Cystic lesions with daughter vesicles compatible with renal hydatid disease. | |
| 1. | |
| Serology of Echinococcus/Hemag antibodies is requested which is POSITIVO to higher figures 1/2.621.440. | |
| MRI was completed to have a more complete iconography and to assess relationships with adjacent structures. | |
| given the diagnostic thickness, it was decided surgery on the affected renal unit, being impossible during the surgical act to perform conservative surgery making the patient a complete left nephroureterectomy due to suspicion of communication of the hydatid cyst with the patient. | |
| Before surgical treatment, the patient received one cycle of Albendazole and another after surgery. | |
| The patient after treatment has decreased levels of antibody titulation and three years after the procedure the patient is asymptomatic and analytically without disease. | |