Work

Xanthogranulomatous Pyelonephritis: A Case Report and Literature Review

Year: 2025
Type: article
Study design: Case Report
Abstract: are the most frequent organisms isolated in individuals with the disease. Its incidence is 1.4 cases per 100,000 population each year. We present a case of a 69-year-old woman who presented with abdominal pain, icterus, fever, non-projectile vomiting, anemia, and recurrent urinary tract infections. A diagnosis of nephrolithiasis was made and the patient was started on empirical antibiotics. An abdominal pelvic CT scan was performed that showed features suggestive of XGP; a nephrectomy was performed, and a tissue biopsy was taken for histopathology and the results confirmed a diagnosis of XGP. XGP diagnosis is extremely challenging due to its ability to mimic other renal pathologies, and a high degree of suspicion is required. Abdominal pelvic ultrasound is helpful in preoperative diagnosis and a biopsy postoperatively is required to confirm XGP diagnosis. Medical management of XGP with antibiotics and nephrectomy is the best treatment option.
Language: English
Subfield: Epidemiology
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,820
OpenAlex ID: W4413101166
FWCI: 1.223
Cites: 11
Cited by: 2
Related to: 10