title: Development of fatal bilateral xanthogranulomatous pyelonephritis in a paraplegic patient: case report.
abstract: The first case of a bilateral xanthogranulomatous pyelonephritis (XGPN) is reported in a paraplegic patient who did not practise intermittent catheterisation after discharge from the hospital but resorted to the Crede manoeuvre which predisposed to a fatal urinary tract infection and development of XGPN over a period of 5 weeks. The advantages of clean, unsterile, intermittent self catheterisation over the Crede manoeuvre in patients with a neuropathic bladder are discussed especially in preventing infective complications of the upper urinary tract which may prove life threatening as occurred in this patient.
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: A K
authors.initials: AK
authors.lastname: Goswami
authors.forename: B
authors.initials: B
authors.lastname: Suryaprakash
authors.forename: A K
authors.initials: AK
authors.lastname: Malik
authors.forename: S
authors.initials: S
authors.lastname: Vaidyanathan
mesh_terms: D000328:Adult; D004927:Escherichia coli Infections / Q000209:etiology; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D010264:Paraplegia / Q000150:complications* / Q000503:physiopathology; D011705:Pyelonephritis, Xanthogranulomatous / Q000209:etiology* / Q000473:pathology; D018805:Sepsis / Q000209:etiology; D014546:Urinary Catheterization; D014554:Urination