Vahlensieck W, Wimmer B, Westenfelder M
Urologische Abteilung, Universität Freiburg i. Br.
Urologe A. 1988 May;27(3):184-9.
Xanthogranulomatous pyelonephritis (XGP) is a rare, unilateral and multifocal inflammatory response of the kidney against bacterial toxins. In the Department of Urology of the University of Freiburg 6 patients with XGP were observed within 10 years. Despite modern diagnostic procedures differential diagnosis from kidney tumors and other parenchymal kidney diseases remains difficult. Recurrent urinary tract infections, fever, urolithiasis, obstruction and leucocytosis may be indicative of XGP. The diagnosis has to be confirmed by surgical intervention which preferably should preserve functioning renal tissue. The prognosis in general is quite good.
黄色肉芽肿性肾盂肾炎（XGP）是一种罕见的、单侧且多灶性的肾脏针对细菌毒素的炎症反应。在弗莱堡大学泌尿外科，10年内观察到6例XGP患者。尽管有现代诊断程序，但与肾肿瘤和其他肾实质疾病进行鉴别诊断仍很困难。复发性尿路感染、发热、尿路结石、梗阻和白细胞增多可能提示XGP。诊断必须通过手术干预来证实，手术最好应保留有功能的肾组织。总体预后相当良好。
