A 28-year-old woman was found to have stage IV Burkitt"s lymphoma. Her renal function was normal and a staging CT scan had shown no abnormality of the renal tract. Three days later, when she was about to start chemotherapy, she developed a temperature of 39.0°C with rigors and was treated with imipenem. Investigations (the following day):

\begin{array}{ll}\text { serum sodium } & 138 \mathrm{mmol} / \mathrm{L}(137-144) \\\text { serum potassium } & 6.2 \mathrm{mmol} / \mathrm{L}(3.5-4.9) \\\text { serum creatinine } & 215 \mu \mathrm{mol} / \mathrm{L}(60-110) \\\text { serum corrected calcium } & 1.60 \mathrm{mmol} / \mathrm{L}(2.20-2.60) \\\text { serum phosphate } & 1.52 \mathrm{mmol} / \mathrm{L}(0.8-1.4) \\\text { serum lactate dehydrogenase } & 1238 \mathrm{U} / \mathrm{L}(10-250) \\\text { serum urate } & 0.69 \mathrm{mmol} / \mathrm{L}(0.19-0.36)\end{array}

What is the most likely cause of the renal impairment?
A)imipenem toxicity
B)intravenous contrast toxicity
C)kidney infiltration
D)septic shock
E)tumor lysis syndrome

Which One of the Following Statements Is True of B

Multiple Choice

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