title: Girl with xanthogranulomatous pyelonephritis and bronchiectasis: case report.
abstract: Xanthogranulomatous pyelonephritis (XGP) is a rare chronic inflammatory disorder of the kidney. Infiltration to lung and liver can occur. We present a rare complication of locally invasive XGP extending beyond the diaphragm to the lung to cause bronchiectasis in an adolescent girl with chronic productive cough, weight loss and no urinary symptoms. The patient underwent open left radical nephrectomy, where it was noted that the left kidney lay very high with significant perinephric inflammation and was densely adherent to the diaphragm and partially adherent to the spleen. XGP was confirmed on histology.
authors.affiliation: Department of Paediatric Respiratory Medicine, National Children's Hospital, Tallaght, Dublin, Ireland. drnadeem.gad@gmail.com
authors.forename: Montasser
authors.initials: M
authors.lastname: Nadeem
authors.forename: Oluwole A
authors.initials: OA
authors.lastname: Oni
authors.forename: Martin
authors.initials: M
authors.lastname: Ryan
authors.forename: Prem
authors.initials: P
authors.lastname: Puri
authors.forename: David
authors.initials: D
authors.lastname: Coghlan
authors.forename: Peter
authors.initials: P
authors.lastname: Greally
mesh_terms: D000293:Adolescent; D001987:Bronchiectasis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D018893:Bronchoalveolar Lavage / Q000379:methods; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009392:Nephrectomy / Q000379:methods; D011705:Pyelonephritis, Xanthogranulomatous / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed