Singh Reech, Gupta Geetanjali, Kumar Pradeep, Kotasthane Dhananjay S
Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry 607402.
J Indian Med Assoc. 2012 Oct;110(10):739-40.
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.
黄色肉芽肿性肾盂肾炎是一种罕见的肾脏感染类型，其特征为伴有巨细胞和泡沫状组织细胞的肉芽肿性炎症。发病高峰在60至70岁，女性与男性之比为2:1。在儿童中罕见。本文报告一例11岁男性儿童的黄色肉芽肿性肾盂肾炎病例，该患儿有15天高热寒战病史、右侧腰痛以及两个月的进行性脓尿。他曾有膀胱结石和前尿道结石手术史，4年前接受了开放性膀胱切开取石术和尿道切开取石术。尽管在超声引导下从右肾盂抽取的浓稠脓液中分离出革兰氏阴性杆菌，但尿液和血液培养均无菌。肾活检诊断为慢性肾盂肾炎后，该患者接受了右侧肾包膜下肾切除术。
