title: Xanthogranulomatous pyelonephritis in a male child--a case report with a brief review of literature.
abstract: Xanthogranulomatous pyelonephritis is a rare type of renal infection characterised by granulomatous inflammation with giant cells and foamy histiocytes.The peak incidence is in the sixth to seventh decade with a female to male ratio of 2:1. It is rare in children. A case of xanthogranulomatous pyelonephritis in a 11-year-old male child who presented with a history of high grade fever and chills for 15 days, right flank pain and progressive pyuria for two months is reported. He had a prior history of surgery for vesical calculus and anterior urethral calculus for which he underwent open cystolithotomy and urethrolithotomy four years back. Although Gram-negative bacilli were isolated from thick pus aspirated from the right renal pelvis under ultrasound guidance, urine and blood culture were sterile. Following a renal biopsy diagnosed as chronic pyelonephritis the patient underwent subscapsular right. nephrectomy.
authors.affiliation: Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry 607402.
authors.forename: Reech
authors.initials: R
authors.lastname: Singh
authors.forename: Geetanjali
authors.initials: G
authors.lastname: Gupta
authors.forename: Pradeep
authors.initials: P
authors.lastname: Kumar
authors.forename: Dhananjay S
authors.initials: DS
authors.lastname: Kotasthane
mesh_terms: D017668:Age of Onset; D002648:Child; D006801:Humans; D008297:Male; D009392:Nephrectomy; D011705:Pyelonephritis, Xanthogranulomatous / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery