Xanthogranulomatous pyelonephritis infected with the Providencia stuartii: a case report and literature review

BMC Nephrology

Tong Cai¹  Chu Liu¹  Zhunan Xu¹  Xuebao Zhang²  Jitao Wu² 

[1] Binzhou Medical University, Yantai, Shandong, China;Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, NO. 20 East Yuhuangding Road, 264000, Yantai, Shandong, China;Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, NO. 20 East Yuhuangding Road, 264000, Yantai, Shandong, China;

关键词: Xanthogranulomatous pyelonephritis (XGP);    Diagnosis;    Treatment;    Case report;   

DOI  :  10.1186/s12882-021-02565-x

来源: Springer

【 摘 要 】

BackgroundXanthogranulomatous pyelonephritis (XGP) is a rare and severe chronic inflammatory disease of the renal parenchyma, which is most commonly associated with super-infections by bacteria such as E. coli, Proteus mirabilis, and occasionally Pseudomonas species.Case presentationHerein, we present a rare case of a patient with XGP infected with Providencia stuartii. Initially, the patient refused nephrectomy and underwent holmium laser lithotripsy and right ureteral stenting, followed by meropenem treatment of 7 days. Relapse occurred in the third month after discharge from the hospital, due to which she underwent a radical nephrectomy.DiscussionThe diagnosis of XGP is confirmed by histopathology. The standard treatment for XGP is antibiotic therapy and radical nephrectomy, but partial nephrectomy may be appropriate in select cases.

【 授权许可】

CC BY