Kidney packed with fat, pus and stone-xanthogranulomatous pyelonephritis
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چکیده
A 60-year-old woman presented with intermittent lowgrade fever and chills for 1 month accompanied by right flank soreness, poor appetite and marked body weight loss (12 kg within 1 month). Leukocytosis (WBC = 17.75 × 109/l), normocytic anaemia (haemoglobin 6.6 g/dl) and pyuria were noted. Abdominal computed tomography (CT) showed an enlarged right kidney with dilated collecting system filled with hypodense substance (pus) and staghorn stones, which are typical CT findings for xanthogranulomatous pyelonephritis (Figure 1A). She received CTguided drainage immediately, and total amount of 300 ml brown-bloody pus was drained out. However, serial urine and pus cultures did not yield any pathogen. After a
منابع مشابه
Xanthogranulomatous pyelonephritis report of a case in a 5 year old boy
Xanthogranulomatous pyelonephritis is an unusual type of the kidney infection which is characterized by infiltration of mononuclear inflammatory cells and lipid laden macrophages ( foam cells). It is manifested by a firm, lobulated and yellowish kidney mass which is difficult to differentiate from renal cell carcinoma grossly. Six out of 1000 cases of cryonic pyelonephritis which are treated su...
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متن کاملXanthogranulomatous pyelonephritis
SYNOPSIS The origin of the intracellular fat in human xanthogranulomatous pyelonephritis has been the centre of some discussion in the past. A report of a case in a domestic cat is of interest as normal feline renal epithelium is rich in stainable fat. A comparison of the human and feline varieties of xanthogranulomatous pyelonephritis reveals certain fundamental differences between the two and...
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