XANTHOGRANULOMATOUS PYELONEPHRITIS
Keywords:
Xanthogranulomatous, pyelonephritis, child, pediatric surgery, kidney
Abstract
Xanthogranulomatous pyelonephritis (XPN) is an uncommon form of chronic pyelonephritis and extremely rare in pediatrics. A six-year-old female presented with a six-month history of recurrent urinary tract infections treated with multiple antibiotics without clinical improvement. Computerized tomography (CT) of the patient’s abdomen/pelvis showed a right renal mass that extended posteriorly into the perinephric space and the right psoas muscle. A CT-guided percutaneous biopsy was performed that ruled out malignancy and showed XPN. Although very rare, XPN should be considered in patients with recurrent or persistent infections of the kidney.References
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2. Chlif M, Chakroun M, Rhouma SB, et al. Xanthogranulomatous pyelonephritis presenting as a pseudotumour. Can Urol Assoc J. 2016. 10; E36. doi.org/10.5489/cuaj.3225.
3. Dell’Aprovitola N, Guarino S, Vecchio WD, et al. 2014. Xanthogranulomatous pyelonephritis mimicking a renal cell carcinoma: a unique and challenging case. Acta Radiol. 3: 1-4. doi.org/10.1177/2047981613513763.
4. Lorca Ãlvaro J, Santiago González M, Laso GarcÃa I. Xanthogranulomatous pyelonephritis. Rev Clin Esp. 2019, 15. pii: S0014-2565(19)30265-6. DOI:10.1016/j.rce.2019.06.012.
5. Borzymowski C, Clauw E, Bosquart J, Peru AS, Jourdain M. Xanthogranulomatous pyelonephritis. Rev Prat. 2019; 69: 399.
6. Lee JH, Kim SS, Kim DS. Xanthogranulomatous Pyelonephritis: "Bear's Paw Sign". J Belg Soc Radiol. 2019. 103: 31. doi: 10.5334/jbsr.1807.
7. Craig WD, Wagner BJ, Travis MD. Pyelonephritis: Radiologic-pathologic review. Radiographics. 2008; 28: 255–76. DOI: 10.1148/rg.281075171.
Published
2020-03-16
How to Cite
Bello, D., Srinilta, D., Abuhantesh, A., & Meller, J. (2020). XANTHOGRANULOMATOUS PYELONEPHRITIS. International Journal of Integrative Pediatrics and Environmental Medicine, 5(1), 5 - 7. https://doi.org/10.36013/ijipem.v5i1.73
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