Xanthogranulomatous pyelonephritis

Prasanni, W. D. D.; Malalasekera, A. P.

doi:10.4038/slju.v13i0.4065

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The primary obstacle to the correct treatment of XGP is incorrect diagnosis [19] . XGP is usually found in patients with urinary tract infection and a unilateral, enlarged, non-functioning or poorly functioning kidney with urolithiasis [20] . However, our patient had no stones noted during the treatment course.…”

Section: Discussionmentioning

confidence: 72%

“…[ 19 ] XGP is usually found in patients with urinary tract infection and a unilateral, enlarged, non-functioning or poorly functioning kidney with urolithiasis. [ 20 ] However, our patient had no stones noted during the treatment course. As we learned that XGP is still a possible diagnosis that needs to be considered even in patients without urolithiasis.…”

Section: Discussionmentioning

confidence: 74%

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Malakoplakia and xanthogranulomatous pyelonephritis treated with nephrectomy

et al. 2021

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Rationale: Malakoplakia and xanthogranulomatous pyelonephritis are chronic inflammatory conditions of the kidney characterized by the infiltration of inflammatory cells. Patient concerns: An 82-year-old female patient had a history of hypertension, type 2 diabetes mellitus, dyslipidemia, and end-stage renal disease under hemodialysis. She was admitted repeatedly 4 times within 4 months due to urosepsis. Diagnosis: The enlarged right kidney with a low-density lesion at the right middle calyx, and a well-enhanced ureter were noted on the computed tomography scan. Therefore, xanthogranulomatous inflammation was suspected. Semi-rigid ureteroscopy with biopsy was performed, and xanthogranulomatous inflammation of the ureter was confirmed on the pathology report. Interventions: After right open radical nephrectomy was performed, the final pathology report revealed malakoplakia with xanthogranulomatous pyelonephritis. Outcomes: After the surgery, she has no longer suffered from urosepsis for 8 months, and there were no adverse event or recurrence noted. Lessons: With this case report, we aim to emphasize that these 2 diseases are not mutually exclusive, but they may exist simultaneously in the same patient.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 74%