Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa
Xanthogranulomatous pyelonephritis (XPN) is a rare entity and constitutes less than 1% of chronic pyelonephritis. Symptoms are frequently nonspecific and in 2/3 of cases it is associated with renal stones (coral or Staghorn calculus). 1 A 66-years-old women presented with progressive asthenia, fever...
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| Format: | Article |
| Language: | English |
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Sociedade Galega de Medicina Interna
2021-07-01
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| Series: | Galicia Clínica |
| Subjects: | |
| Online Access: | https://galiciaclinica.info/publicacion.asp?f=2260 |
| _version_ | 1818624060034121728 |
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| author | Sérgio Brito Sérgio Pinho |
| author_facet | Sérgio Brito Sérgio Pinho |
| author_sort | Sérgio Brito |
| collection | DOAJ |
| description | Xanthogranulomatous pyelonephritis (XPN) is a rare entity and constitutes less than 1% of chronic pyelonephritis. Symptoms are frequently nonspecific and in 2/3 of cases it is associated with renal stones (coral or Staghorn calculus). 1
A 66-years-old women presented with progressive asthenia, fever, night sweating and 7-Kg weight loss over the last three months. Her medical history reported recurrent urinary infections, the last one a month before the symptoms began. On physical examination she presented with mucocutaneous pallor. Laboratory studies showed inflammatory anemia (8.9g/dL of hemoglobin), leukocytosis, neutrophilia and 95mm/h sedimentation rate. The abdominal X-ray showed massive coral calculus overlying the left renal outline (Image 1), confirmed with abdominal CT, which also revealed a non-functioning left kidney and two pyelocaliceal purulent cysts. The clinic and radiological images were consistent with the diagnosis of chronic xanthogranulomatous pyelonephritis. Blood and urine cultures were negative. Performed a CT guided percutaneous drainage with microbiological study that isolated a Proteus mirabilis. She completed a course of antibiotic followed by a left nephrectomy, with resolution of symptoms and the anemia. Anatomopathological test was later performed and confirmed the diagnosis. |
| first_indexed | 2024-12-16T18:50:57Z |
| format | Article |
| id | doaj.art-9cff49c4b8724622b6609135b26de824 |
| institution | Directory Open Access Journal |
| issn | 0304-4866 1989-3922 |
| language | English |
| last_indexed | 2024-12-16T18:50:57Z |
| publishDate | 2021-07-01 |
| publisher | Sociedade Galega de Medicina Interna |
| record_format | Article |
| series | Galicia Clínica |
| spelling | doaj.art-9cff49c4b8724622b6609135b26de8242022-12-21T22:20:42ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222021-07-0182211911910.22546/61/22602260Cálculo coraliforme masivo en la pielonefritis xantogranulomatosaSérgio Brito0Sérgio Pinho1Centro Hospitalar Lisboa OcidentalCentro Hospitalar Lisboa OcidentalXanthogranulomatous pyelonephritis (XPN) is a rare entity and constitutes less than 1% of chronic pyelonephritis. Symptoms are frequently nonspecific and in 2/3 of cases it is associated with renal stones (coral or Staghorn calculus). 1 A 66-years-old women presented with progressive asthenia, fever, night sweating and 7-Kg weight loss over the last three months. Her medical history reported recurrent urinary infections, the last one a month before the symptoms began. On physical examination she presented with mucocutaneous pallor. Laboratory studies showed inflammatory anemia (8.9g/dL of hemoglobin), leukocytosis, neutrophilia and 95mm/h sedimentation rate. The abdominal X-ray showed massive coral calculus overlying the left renal outline (Image 1), confirmed with abdominal CT, which also revealed a non-functioning left kidney and two pyelocaliceal purulent cysts. The clinic and radiological images were consistent with the diagnosis of chronic xanthogranulomatous pyelonephritis. Blood and urine cultures were negative. Performed a CT guided percutaneous drainage with microbiological study that isolated a Proteus mirabilis. She completed a course of antibiotic followed by a left nephrectomy, with resolution of symptoms and the anemia. Anatomopathological test was later performed and confirmed the diagnosis.https://galiciaclinica.info/publicacion.asp?f=2260pielonefritis xantogranulomatosacálculos coraliforme |
| spellingShingle | Sérgio Brito Sérgio Pinho Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa Galicia Clínica pielonefritis xantogranulomatosa cálculos coraliforme |
| title | Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa |
| title_full | Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa |
| title_fullStr | Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa |
| title_full_unstemmed | Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa |
| title_short | Cálculo coraliforme masivo en la pielonefritis xantogranulomatosa |
| title_sort | calculo coraliforme masivo en la pielonefritis xantogranulomatosa |
| topic | pielonefritis xantogranulomatosa cálculos coraliforme |
| url | https://galiciaclinica.info/publicacion.asp?f=2260 |
| work_keys_str_mv | AT sergiobrito calculocoraliformemasivoenlapielonefritisxantogranulomatosa AT sergiopinho calculocoraliformemasivoenlapielonefritisxantogranulomatosa |