A 22 year old female presents with fever in the 2nd
trimester of her 1st pregnancy she gives history of dysuria and
loin pain. On examination she is febrile and has bilateral tenderness in the
loins. She gives a history of recurrent urinary tract infections in childhood.
There is a family history of hypertension and she has been told that her
mother has kidney disease.
Urine examination shows pyuria and culture of urine
demonstrates a significant growth of E. coli.
In this patient which of the following conditions could
be the underlying cause of her presentation?
Adult polycystic kidney disease