Histopathology: Microscopic examination revealed severe diffuse chronic granulomatous nephritis and chronic granulomatous osteomyelitis. Numerous nematodes consistent with Halicephalobus gingivalis were present in both tissues. Bacterial cultures were negative on kidney and urine. Morphological diagnosis: Severe, chronic, diffuse granulomatous nephritis with numerous intralesional nematodes consistent with Halicephalobus gingivalis; and chronic granulomatous osteomyelitis with larval