Xanthogranulomatous Pyelonephritis in a Surgically Complicated Patient: A Case Report

Yıl 2019, Cilt: 09 Sayı: 02, 90 - 94, 15.06.2019

Jooeun Kwon John N. Greene

https://doi.org/10.5799/jmid.574627

Öz

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.

Anahtar Kelimeler

Xanthogranulomatous pyelonephritis, Streptococcus intermedius, Case report

Kaynakça

• 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.