Chuang C K, Lai M K, Chang P L, Huang M H, Chu S H, Wu C J, Wu H R
Department of Surgery, Chang-Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
J Urol. 1992 Feb;147(2):333-6. doi: 10.1016/s0022-5347(17)37229-4.
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.
