Xanthogranulomatous pyelonephritis: experience in 36 cases.
A retrospective study of 36 patients with xanthogranulomatous pyelonephritis who underwent nephrectomy at our hospital was performed. The disease occurred most frequently in middle-aged women with a history of recurrent urinary tract disorder. There were 2 cases of focal xanthogranulomatous pyelonephritis, 2 associated with emphysematous pyelonephritis, 2 that manifested as fistula formation between the colon or skin, and 1 with deep sinus formation into the hip joint that presented as septic arthritis. Flank pain and fever were the most frequent complaints. Escherichia coli (67%) and Proteus mirabilis (26%) were the most common organisms isolated from the voided urine, kidney and blood stream. Cephalothin plus gentamicin or tobramycin were the drugs of choice before surgical intervention.
Chuang
C K
CK
Department of Surgery, Chang-Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Lai
M K
MK
Chang
P L
PL
Huang
M H
MH
Chu
S H
SH
Wu
C J
CJ
Wu
H R
HR
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011705:Pyelonephritis, Xanthogranulomatous / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies