Article information
Abstract
Pyelonephritis is a pyogenic infection of renal parenchyma that involves the renal pelvis. It is generally of easy diagnosis. The present case report aims to describe two different manifestations of this infection: xanthogranulomatous pyelonephritis and emphysematous pyelonephritis, which have poor prognosis and require a more effective treatment. The two cases were women in the fiftieth and sixtieth decade of life, with diabetes mellitus and history of weight loss. The diagnosis of the renal infection was established through computed tomography and the treatment was based in surgical procedure, with favorable outcome.
Keywords:
xanthogranulomatous pyelonephritis
emphysematous pyelonephritis
urinary tract infection
nephrostomy
nephrectomy
surgery
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References
[1.]
L. Goldman, J. Bennett.
Cecil Tratado de Medicina Interna.
21st Ed., Rio de Janeiro, (2001),
[2.]
A.F. Leoni, A. Luque, R.H. Sambuelli, J.C. Valverde.
Pielonefritis xantogranulomatosa asociada a flora poli microbiana.
Rev Panam Infectol, 6 (2004), pp. 23-27
[3.]
S.V. Punekar, J.S. Kinne, S.R. Rao, C. Madiwale, S.S. Karhadkar.
Xanthogranulomatous pyelonephritis presenting as emphysematous pyelonephritis: a rare association.
J Postgrad Med, 45 (1999), pp. 125
[4.]
C.H. Lim, W.B. Kim, Yon Su Kim, et al.
Bilateral emphysematous pyelonephritis with perirenal abscess cured by conservative therapy.
J Nephrol, 13 (2000), pp. 155-158
[5.]
S. Shetty, et al.
Emphysematous Pyelonephritis.
Department of Urology, W. Beaumont Hospital, 1 (2006), pp. 1-10
[6.]
G. D’ippolito, D. Tockechi.
Tomografic aspects of xanthogranulomatous pyelonephritis and related complications.
São Paulo Med J, 114 (1996), pp. 1091-1096
[7.]
H.N.V. Filho, W.A.F. Filho, H.A.M. Souza, T. Leal, A.L. Tenório.
Pielonefrite xantogranulomatosa.
J Pediatria (Rio J), 70 (1994), pp. 302-304
[8.]
A. Alam, B.N. Chander, D.P. Joshi.
Xanthogranulomatous pyelonephritis: diagnosis using computer tomography.
Med J Armed Forces India, 60 (2004), pp. 86-88
[9.]
F.M.J. Quinn, A.C. Dick, M.T. Corbally, M.B. McDermott, E.J. Guiney.
Xanthogranulomatous pyelonephiritis in childhood.
Arch Dis Child, 81 (1999), pp. 403-486
[10.]
J. Eastham, T. Ahlering, E. Skinner.
Xanthogranulomatous pyelonephitis: clinical findings and surgical considerations.
Urology, 43 (1994), pp. 295-299
[11.]
P. Príncipe, L. Costa.
Infecção do tracto urinário.
Rev Port Clin Geral, 21 (2005), pp. 219-225
[12.]
D.M. McGorry, J. Kroser, L.T. Taylor, H. Howard Lewis, D. Gabale.
Emphysematous Pyelonephritis Presenting as an Acute Abdomen.
Infect Urol, 12 (1999), pp. 162-165
[13.]
S.K. Jain, N. Agarwal, S.K. Chaturvedi.
Emphysematous pyelonephritis: a rare presentation.
J Postgrad Med, 46 (2000), pp. 31-32
[14.]
N. Hortling, G. Layer, P. Albers, H.H. Schild.
Xanthogranulomatous pyelonephritis with septic lung metastases and infiltration of the colon. Difficult preoperative differential pulmonary hypernephroma metastasis diagnosis.
Aktuelle Radiol, 7 (1997), pp. 317
[15.]
M.H. al-Sulaiman, A.A. al-Khader, D.H. Mousa, et al.
Renal parenchymal malacoplakia and megalocytic interstitial nephritis: clinical and histological features. Report of two cases and review of the literature.
Am J Nephrol, 13 (1993), pp. 483
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