Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus
Focal Xanthogranulomatous pyelonephritis is a rare chronic inflammatory condition of kidneys which usually is associated with postrenal obstruction or renal stone leading to chronic bacterial infection and eventually chronic glomerular inflammation. About 90% of cases are of the diffuse type and ass...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2018/1698286 |
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| author | Ahmad Enshaei Arash A. Boora Diana Taheri Zahra Changizi Nahid Bahmani |
| author_facet | Ahmad Enshaei Arash A. Boora Diana Taheri Zahra Changizi Nahid Bahmani |
| author_sort | Ahmad Enshaei |
| collection | DOAJ |
| description | Focal Xanthogranulomatous pyelonephritis is a rare chronic inflammatory condition of kidneys which usually is associated with postrenal obstruction or renal stone leading to chronic bacterial infection and eventually chronic glomerular inflammation. About 90% of cases are of the diffuse type and associated with staghorn renal calculi. The case presented in this paper is of the focal type in a 58-year-old diabetic female. Interestingly she did not have symptoms or laboratory presentation of chronic renal bacterial infection except for elevated ESR. She sought medical attention due to severe pulmonary infection of the background of morbid obesity. Imaging studies revealed several pulmonary lesions and a large mass of the right kidney which was indistinguishable from renal malignancy. After surgical resection of the right kidney, the lesion is pathologically diagnosed to be a focal Xanthogranulomatous pyelonephritis. The pulmonary lesions were spontaneously resolved about three months following right nephrectomy. |
| format | Article |
| id | doaj-art-34bac3c0287641ed8872dce8ba3f1254 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-34bac3c0287641ed8872dce8ba3f12542025-02-03T06:07:01ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/16982861698286Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes MellitusAhmad Enshaei0Arash A. Boora1Diana Taheri2Zahra Changizi3Nahid Bahmani4Isfahan University of Medical Science, Kashani Hospital, Kashani Ave, Isfahan, IranUniversity of Queensland, St. Lucia, QLD, AustraliaDepartment of Pathology, Isfahan Kidney Diseases Research Centre, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Internal Medicine, Saadi Hospital, Isfahan, IranDepartment of Radiology, Saadi Hospital, Isfahan, IranFocal Xanthogranulomatous pyelonephritis is a rare chronic inflammatory condition of kidneys which usually is associated with postrenal obstruction or renal stone leading to chronic bacterial infection and eventually chronic glomerular inflammation. About 90% of cases are of the diffuse type and associated with staghorn renal calculi. The case presented in this paper is of the focal type in a 58-year-old diabetic female. Interestingly she did not have symptoms or laboratory presentation of chronic renal bacterial infection except for elevated ESR. She sought medical attention due to severe pulmonary infection of the background of morbid obesity. Imaging studies revealed several pulmonary lesions and a large mass of the right kidney which was indistinguishable from renal malignancy. After surgical resection of the right kidney, the lesion is pathologically diagnosed to be a focal Xanthogranulomatous pyelonephritis. The pulmonary lesions were spontaneously resolved about three months following right nephrectomy.http://dx.doi.org/10.1155/2018/1698286 |
| spellingShingle | Ahmad Enshaei Arash A. Boora Diana Taheri Zahra Changizi Nahid Bahmani Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus Case Reports in Radiology |
| title | Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus |
| title_full | Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus |
| title_fullStr | Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus |
| title_full_unstemmed | Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus |
| title_short | Focal Xanthogranulomatous Pyelonephritis with Pulmonary Lesions on the Background of Type Two Diabetes Mellitus |
| title_sort | focal xanthogranulomatous pyelonephritis with pulmonary lesions on the background of type two diabetes mellitus |
| url | http://dx.doi.org/10.1155/2018/1698286 |
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