Acute Lumbago and Sciatica as First Symptoms of Focal Xanthogranulomatous Pyelonephritis

Germani, Stefano; Miano, Roberto; Forte, Flavio; Agrò, Enrico Finazzi; Virgili, G; Vespasiani, Giuseppe

doi:10.1159/000063938

Cited by 3 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[8] Although laparoscopic nephrectomy is more challenging, it has been reported to be safe in patients with XGPN, although the conversion rate is high in difficult cases. [9] Unusual clinical presentations described in case reports include acute peritonitis, ischemic colitis, sciatica, empyema, and nephrobronchial fistula, [10][11][12][13][14] XGPN with transdiaphragmatic extension through erosion is rare. [15] Identical bacterial species with the same drug spectrum from both nephrostomy urine and sputum cultures supported our findings.…”

Section: Discussionmentioning

confidence: 99%

“…Unusual clinical presentations described in case reports include acute peritonitis, ischemic colitis, sciatica, empyema, and nephrobronchial fistula, [10–14] XGPN with transdiaphragmatic extension through erosion is rare. [15] Identical bacterial species with the same drug spectrum from both nephrostomy urine and sputum cultures supported our findings.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lung abscess with chronic cough secondary to xanthogranulomatous pyelonephritis: A rare case report

et al. 2023

View full text Add to dashboard Cite

Rationale: Xanthogranulomatous pyelonephritis (XGPN) is a form of chronic pyelonephritis caused by chronic calculus obstruction and bacterial infection, leading to the destruction of the renal parenchyma and calyces. Conservative treatment is usually not sufficient, and surgical intervention is still the main curative approach. XGPN with transdiaphragmatic extension and lung abscess formation is a rare condition. Patient concerns: We report a 64-year-old woman who presented with persistent productive cough. Diagnoses: Lung abscess secondary to XPGN. Both nephrostomy urine and sputum cultures showed Proteus mirabilis infection with the same antibiotic sensitivity spectrum, but blood culture was negative. Interventions: Laparoscopic radical nephrectomy and prolonged antibiotic treatment. Outcomes: The lung abscess and cough gradually resolved in 1 month after nephrectomy. Conclusion: Lung abscess secondary to transdiaphragmatic extension of XGPN is rare but should be considered in patients with lower lung infections that are unresponsive to treatment, especially infections due to unusual respiratory pathogens such as P mirabilis .

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lung abscess with chronic cough secondary to xanthogranulomatous pyelonephritis: A rare case report

et al. 2023

View full text Add to dashboard Cite

show abstract

Imagerie de la pyélonéphrite xantogranulomateuse

Farhat

Saïed

Dali

et al. 2007

Journal de Radiologie

View full text Add to dashboard Cite

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Low back pain (LBP) is one of the most common reasons for consultation in general practice. Currently, LBP is categorised into specific and non-specific causes. However, extravertebral causes, such as abdominal aortic aneurysm or pancreatitis, are not being considered. Methods A systematic literature search was performed across MEDLINE, Embase, and the Cochrane library, complemented by a handsearch. Studies conducted between 1 January 2001 and 31 December 2020, where LBP was the main symptom, were included. Results The literature search identified 6040 studies, from which duplicates were removed, leaving 4105 studies for title and abstract screening. Subsequently, 265 publications were selected for inclusion, with an additional 197 publications identified through the handsearch. The majority of the studies were case reports and case series, predominantly originating from specialised care settings. A clear distinction between vertebral or rare causes of LBP was not always possible. A range of diseases were identified as potential extravertebral causes of LBP, encompassing gynaecological, urological, vascular, systemic, and gastrointestinal diseases. Notably, guidelines exhibited inconsistencies in addressing extravertebral causes. Discussion Prior to this review, there has been no systematic investigation into extravertebral causes of LBP. Although these causes are rare, the absence of robust and reliable epidemiological data hinders a comprehensive understanding, as well as the lack of standardised protocols, which contributes to a lack of accurate description of indicative symptoms. While there are certain disease-specific characteristics, such as non-mechanical or cyclical LBP, and atypical accompanying symptoms like fever, abdominal pain, or leg swelling, that may suggest extravertebral causes, it is important to recognise that these features are not universally present in every patient. Conclusion The differential diagnosis of extravertebral LBP is extensive with relatively low prevalence rates dependent on the clinical setting. Clinicians should maintain a high index of suspicion for extravertebral aetiologies, especially in patients presenting with atypical accompanying symptoms.

show abstract

Acute Lumbago and Sciatica as First Symptoms of Focal Xanthogranulomatous Pyelonephritis

Cited by 3 publications

References 5 publications

Lung abscess with chronic cough secondary to xanthogranulomatous pyelonephritis: A rare case report

Lung abscess with chronic cough secondary to xanthogranulomatous pyelonephritis: A rare case report

Imagerie de la pyélonéphrite xantogranulomateuse

Extravertebral low back pain: a scoping review

Contact Info

Product

Resources

About