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Caspian Journal of Internal Medicine، جلد ۱۲، شماره Case Supplement، صفحات ۵۰۵-۵۰۸
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عنوان انگلیسی Xanthogranulomatous pyelonephritis combined with emphysematous pyelonephritis: A rare case report
چکیده انگلیسی مقاله Background: Xanthogranulomatous pyelonephritis (XGP) is a rare and intense type of chronic kidney infection characterized by subversion of the renal tissue and its replacement by lipid- laden macrophages. XGP combined with emphysematous pyelonephritis (EPN) is rare and up until now only 7 cases with these  presentations have been reported; so abundant clinical skills and appropriate  radiographic imaging  is required to reach the correct diagnosis. In this report, we present a case with two uncommon variants of pyelonephritis. Case Presentation: A 55-year-old female presented with a history of  type 2 diabetes mellitus, and a stroke leading to a left-sided hemiplegia state for 7 years, coronary artery bypass grafting (CABG), hypertension (HTN), seizure, progressive fatigue, loss of appetite , fecal and urinary incontinence and right costovertebral angle tenderness. According to clinical signs, symptoms and documentation of gas within the renal parenchyma on computed tomography (CT) of abdomen, of EPN diagnosis was suggested; however histopathologic evaluation showed acute emphysematous pyelonephritis on chronic xanthogranulomatous pyelonephritis. Conclusion: EPN can emerge in a patient suffering from XPG which would add to the severity of the situation. In the case presented, concurrent underlying diseases such as diabetes mellitus, stroke, CABG, HTN along with severe fatigue and loss of appetite existed. Surgical treatment produces dramatic results.
کلیدواژه‌های انگلیسی مقاله Xanthogranulomatous pyelonephritis, emphysematous pyelonephritis, Staghorn calculi
نویسندگان مقاله | Emadoddin Moudi
Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran


| Mohammadmehdi Darzi
Department of Urology, Babol University of Medical Sciences, Babol, Iran


| Sepehr Ramzani
Student Research Committee, Babol University of Medical Sciences, Babol, Iran


| Abazar Akbarzadehpasha
Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
نشانی اینترنتی http://caspjim.com/browse.php?a_code=A-10-151-2&slc_lang=en&sid=1
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زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده Surgery
نوع مقاله منتشر شده case report
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