Case Report
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Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report

Year 2019, , 90 - 94, 15.06.2019
https://doi.org/10.5799/jmid.574627

Abstract

ABSTRACT



Xanthogranulomatous pyelonephritis is an uncommon destructive process that is associated
with urinary tract infection and/or obstruction. We present the case of a 63
year old female who had an unusual case of xanthogranulomatous pyelonephritis
due to Streptococcus intermedius in
the left kidney. CT scan revealed a chronic obstructive pyelonephritis with
associated staghorn calculi, and renal histopathology confirmed
xanthogranulomatous pyelonephritis with foamy macrophages. She was a surgically
complicated patient, who underwent two ventral hernia repairs along with her
left nephrectomy. She ultimately had a complete recovery after surgical
treatment and antibiotics.
J Microbiol Infect Dis 2019; 9(2):90-94.

References

  • REFERENCES 1. Cozzutto C, Carbone A. The xanthogranulomatous process. Xanthogranulomatous inflammation. Pathol Res Pract 1988; 183(4): 395-402. 2. Hayes WS, Hartman DS, Sesterbenn IA. From the Archives of the AFIP. Xanthogranulomatous pyelonephritis. Radiographics 1991; 11(3): 485-498. 3. Zorzos I, Moutzouris V, Korakianitis G, Katsou G. Analysis of 39 cases of xanthogranulomatous pyelonephritis with emphasis on CT findings. Scand J Urol Nephrol 2003; 37(4): 342-347. 4. Bourm KS, Menias CO, Ali K, Alhalabi K, Elsayes KM. Spectrum of Xanthogranulomatous Processes in the Abdomen and Pelvis: A Pictorial Review of Infectious, Inflammatory, and Proliferative Responses. Am J Roentg 2017; 208(3): 475-484. 5. Dawoud S, Solomon RJ, Eyerly-Webb SA, et al. Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases. Perm J 2018; 22. 6. Malek RS, Elder JS. Xanthogranulomatous pyelonephritis: a critical analysis of 26 cases and of the literature. J Urol 1978; 119(5): 589-593. 7. Perez LM, Thrasher JB, Anderson EE. Successful management of bilateral xanthogranulomatous pyelonephritis by bilateral partial nephrectomy. J Urol 1993; 149(1): 100-102. 8. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev 2011(3): Cd007781. 9. Holihan JL, Hannon C, Goodenough C, et al. Ventral Hernia Repair: A Meta-Analysis of Randomized Controlled Trials. Surg Infect (Larchmt) 2017; 18(6): 647-658. 10. Haskins IN, Voeller GR, Stoikes NF, et al. Onlay with Adhesive Use Compared with Sublay Mesh Placement in Ventral Hernia Repair: Was Chevrel Right? An Americas Hernia Society Quality Collaborative Analysis. J Am Coll Surg 2017; 224(5): 962-970. 11. de Vries Reilingh TS, van Goor H, Rosman C, et al. Components separation technique" for the repair of large abdominal wall hernias. J Am Coll Surg 2003; 196(1): 32-37. 12. Addison B, Zargar H, Lilic N, Merrilees D, Rice M. Analysis of 35 cases of Xanthogranulomatous pyelonephritis. Anz Journal of Surgery 2014; 85(3): 150-153. 13. Nagamune H, Whiley RA, Goto T, et al. Distribution of the intermedilysin gene among the anginosus group streptococci and correlation between intermedilysin production and deep-seated infection with Streptococcus intermedius. J Clin Microbiol 2000; 38(1): 220-226. 14. Gossling J. Occurrence and pathogenicity of the Streptococcus milleri group. Rev Infect Dis 1988; 10(2): 257-285. 15. Ho KM, Lipman J, Dobb GJ, and Web SA. The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis. Crit Care 2005; 9(6): R710-17.
Year 2019, , 90 - 94, 15.06.2019
https://doi.org/10.5799/jmid.574627

Abstract

References

  • REFERENCES 1. Cozzutto C, Carbone A. The xanthogranulomatous process. Xanthogranulomatous inflammation. Pathol Res Pract 1988; 183(4): 395-402. 2. Hayes WS, Hartman DS, Sesterbenn IA. From the Archives of the AFIP. Xanthogranulomatous pyelonephritis. Radiographics 1991; 11(3): 485-498. 3. Zorzos I, Moutzouris V, Korakianitis G, Katsou G. Analysis of 39 cases of xanthogranulomatous pyelonephritis with emphasis on CT findings. Scand J Urol Nephrol 2003; 37(4): 342-347. 4. Bourm KS, Menias CO, Ali K, Alhalabi K, Elsayes KM. Spectrum of Xanthogranulomatous Processes in the Abdomen and Pelvis: A Pictorial Review of Infectious, Inflammatory, and Proliferative Responses. Am J Roentg 2017; 208(3): 475-484. 5. Dawoud S, Solomon RJ, Eyerly-Webb SA, et al. Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases. Perm J 2018; 22. 6. Malek RS, Elder JS. Xanthogranulomatous pyelonephritis: a critical analysis of 26 cases and of the literature. J Urol 1978; 119(5): 589-593. 7. Perez LM, Thrasher JB, Anderson EE. Successful management of bilateral xanthogranulomatous pyelonephritis by bilateral partial nephrectomy. J Urol 1993; 149(1): 100-102. 8. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev 2011(3): Cd007781. 9. Holihan JL, Hannon C, Goodenough C, et al. Ventral Hernia Repair: A Meta-Analysis of Randomized Controlled Trials. Surg Infect (Larchmt) 2017; 18(6): 647-658. 10. Haskins IN, Voeller GR, Stoikes NF, et al. Onlay with Adhesive Use Compared with Sublay Mesh Placement in Ventral Hernia Repair: Was Chevrel Right? An Americas Hernia Society Quality Collaborative Analysis. J Am Coll Surg 2017; 224(5): 962-970. 11. de Vries Reilingh TS, van Goor H, Rosman C, et al. Components separation technique" for the repair of large abdominal wall hernias. J Am Coll Surg 2003; 196(1): 32-37. 12. Addison B, Zargar H, Lilic N, Merrilees D, Rice M. Analysis of 35 cases of Xanthogranulomatous pyelonephritis. Anz Journal of Surgery 2014; 85(3): 150-153. 13. Nagamune H, Whiley RA, Goto T, et al. Distribution of the intermedilysin gene among the anginosus group streptococci and correlation between intermedilysin production and deep-seated infection with Streptococcus intermedius. J Clin Microbiol 2000; 38(1): 220-226. 14. Gossling J. Occurrence and pathogenicity of the Streptococcus milleri group. Rev Infect Dis 1988; 10(2): 257-285. 15. Ho KM, Lipman J, Dobb GJ, and Web SA. The use of prophylactic fluconazole in immunocompetent high-risk surgical patients: a meta-analysis. Crit Care 2005; 9(6): R710-17.
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Details

Primary Language English
Journal Section Case Report
Authors

Jooeun Kwon This is me

John N. Greene This is me

Publication Date June 15, 2019
Published in Issue Year 2019

Cite

APA Kwon, J., & Greene, J. N. (2019). Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report. Journal of Microbiology and Infectious Diseases, 09(02), 90-94. https://doi.org/10.5799/jmid.574627
AMA Kwon J, Greene JN. Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report. J Microbil Infect Dis. June 2019;09(02):90-94. doi:10.5799/jmid.574627
Chicago Kwon, Jooeun, and John N. Greene. “Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report”. Journal of Microbiology and Infectious Diseases 09, no. 02 (June 2019): 90-94. https://doi.org/10.5799/jmid.574627.
EndNote Kwon J, Greene JN (June 1, 2019) Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report. Journal of Microbiology and Infectious Diseases 09 02 90–94.
IEEE J. Kwon and J. N. Greene, “Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report”, J Microbil Infect Dis, vol. 09, no. 02, pp. 90–94, 2019, doi: 10.5799/jmid.574627.
ISNAD Kwon, Jooeun - Greene, John N. “Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report”. Journal of Microbiology and Infectious Diseases 09/02 (June 2019), 90-94. https://doi.org/10.5799/jmid.574627.
JAMA Kwon J, Greene JN. Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report. J Microbil Infect Dis. 2019;09:90–94.
MLA Kwon, Jooeun and John N. Greene. “Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report”. Journal of Microbiology and Infectious Diseases, vol. 09, no. 02, 2019, pp. 90-94, doi:10.5799/jmid.574627.
Vancouver Kwon J, Greene JN. Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report. J Microbil Infect Dis. 2019;09(02):90-4.