Fever and renal mass in a young child. Renal abscess.

A 22-month-old African refugee male was referred to our emergency department by his pediatrician for prolonged fever. He was previously healthy and had just moved from Tanzania to Dallas, TX, 9 months before presentation. He had intermittent high fevers to 103°F, along with chills and night sweats for 7 days. Upper respiratory symptoms, including nasal congestion and cough, were noted for a few days. Review of systems was nega-