“…It involves a chronic suppurative process of unknown pathogenesis that leads to destruction of renal parenchyma and replacement with granulomatous tissue, leading to a non-functional kidney4 (figure 4). Clinical presentation is non-specific and often includes abdominal distension, abdominal pain, fever, malaise and anorexia 2 3 5. Laboratory investigations often show raised inflammatory markers, anaemia, thrombocytopenia, but normal renal function if the opposite kidney is unaffected.…”