Emphysematous (xanthogranulomatous) pyelonephritis in a young girl with renal lithiasis

Pielonefritis enfisematosa (xantogranulomatosa) en niña con litiasis renal

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Jesús Ángel Fernández Fernández
Joanna del Carmen Carrasco Fermín
Alfredo Enrico Di Girolamo Villasmil
Jesús Angel Fernández Chacín

Abstract

Introduction: we report a clinical case of right kidney emphysematous pyelonephritis (EPN) in a 4-year-old girl with a 2.9 cm renal pelvic calculus. Few cases of EPN have been published, most of them occurring in adults with diabetes mellitus. Discussion: the presence of hydronephrosis detected by a renal ultrasound and a painful crepitant mass in the right flank upon palpation, arose suspicion of this rare disease. The patient underwent an emergency right nephroureterectomy following stabilization of her clinical status. The postoperative course was satisfactory.

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Kelly H, MacCallum W. Pneumaturia. JAMA. 1898;31:375-381. doi:10.1001/jama.1898.92450080001001 DOI: https://doi.org/10.1001/jama.1898.92450080001001

Schultz EH, Klorfein EH. Emphysematous pyelonephritis. J Urol. 1962;87(6):762-766. https://doi.org/10.1016/S0022-5347(17)65043-2 DOI: https://doi.org/10.1016/S0022-5347(17)65043-2

Palynasalo M, Hellstrom P, Siniluoto T, Leinonen A. Emphysematous pyelonephritis. Acta Radiol. 1989;30(3):311—315. DOI: https://doi.org/10.1177/028418518903000318

Pode D, Perlberg S, Fine H. Emphysematous renal and perirenal infection in nondiabetic patient. Urology. 1985;26(3):313–315. doi: 10.1016/0090-4295(85)90139-6 DOI: https://doi.org/10.1016/0090-4295(85)90139-6

Ambaram P, Kala U, Petersen K. Emphysematous Pyelonephritis in Children. Pediatr Infect Dis J. 2016;35(10):1159–1161. doi: 10.1097/INF.0000000000001254 DOI: https://doi.org/10.1097/INF.0000000000001254

Fernandes L, Jaffer M, Derweesh A. Emphysematous Pyelonephritis and Cystitis Associated With Bilateral Pelviureteric Junction Obstruction: A Case Report. J Pediatr Surg. 1998;33(5):739-740. doi: 10.1177/0300060518770341. DOI: https://doi.org/10.1016/S0022-3468(98)90203-2

Al-Makadma A, Al-Akash S. An unusual case of pyelonephritis in a pediatric renal transplant recipient. Pediatr Transplant. 2005;9(2):258-260. doi: 10.1111/j.1399-3046.2004.00276.x. DOI: https://doi.org/10.1111/j.1399-3046.2004.00276.x

Girgenti V, Pelizzo G, Amoroso S, Rosone G, Di Mitri M, Milazzo M, Giordano S, Genuardi R, Calcaterra V. Emphysematous Pyelonephritis Following Ureterovesical Reimplantation for Congenital Obstructive Megaureter. Pediatric Case Report and Review of the Literature. Front Pediatr. 2019;7:2. doi: 10.3389/fped.2019.00002 DOI: https://doi.org/10.3389/fped.2019.00002

Jiya F, Ibitoye P, Jiya N, Amodu-Sanni M, Mohammed Y, Aquib D, Coker L. Emphysematous pyelonephritis in an infant from Sokoto, north-western Nigeria. Afr J Lab Med. 2021;10(1):1181. doi: 10.4102/ajlm.v10i1.1181 DOI: https://doi.org/10.4102/ajlm.v10i1.1181

Srinivas V, Piyush A, Donald B, Vikram D. Evaluation of Renal Infections. Ultrasound Clin. 2006;1(1):1-13. doi: 10.1016/j.rcl.2006.10.001 DOI: https://doi.org/10.1016/j.cult.2005.09.002

Stone S, Mallon W, Childs J, Docherty S. Emphysematous Pyelonephritis: Clues to rapid diagnosis in the emergency department. J Emerg Med, 2005;28(3):315–319. doi: 10.1016/j.jemermed.2004.07.015 DOI: https://doi.org/10.1016/j.jemermed.2004.07.015

Bonoan J, Mehra S, Cunha B. Emphysematous pyelonephritis. Heart Lung. 1997;26(6):501–503. doi: 10.1016/s0147-9563(97)90044-3 DOI: https://doi.org/10.1016/S0147-9563(97)90044-3

Rumack C. Diagnostic ultrasound. St. Louis, MO: CV Mosby; 1991. Putnam CE, Ravin CE. Textbook of diagnostic imaging. Philadelphia, PA: WB Saunders; 1994/1998.

Goldman S, Fishman EK. Upper urinary tract infection: the role of CT ultrasound, and MRI. Semin Ultrasound CT MR. 1991;12(4):335–360.

Wan Y, Lee T, Bullard M, Tsai C. Acute gas-producing bacterial renal infection: correlation between imaging findings and clinical outcome. Radiology. 1996;198(2):433–438. doi: 10.1148/radiology.198.2.8596845 DOI: https://doi.org/10.1148/radiology.198.2.8596845

Abdul-Halim H, Kehinde E, Abdeen S, Lashin I, Al-Hunayan A, Al-Awadi K. Severe emphysematous pyelonephritis in diabetic patients: diagnosis and aspects of surgical management. Urol Int. 2005;75(2):123–128. doi: 10.1159/000087165 DOI: https://doi.org/10.1159/000087165

Soo Park B, Lee S, Wha Kim Y, Sik Huh J, Kim J, Chang S. Outcome of nephrectomy and kidney-preserving procedures for the treatment of emphysematous pyelonephritis. Scand J Urol Nephrol. 2006;40(4):332–338. doi: 10.1080/00365590600794902 DOI: https://doi.org/10.1080/00365590600794902

Chen M, Huang C, Chou Y, Huang C, Chiang C, Liu G. Percutaneous drainage in the treatment of emphysematous pyelonephritis: 10 year experience. J Urol. 1997;157(5):1569–1573. DOI: https://doi.org/10.1016/S0022-5347(01)64797-9

Jain S, Agarwal N, Chaturvedi S. Emphysematous pyelonephritis: a rare presentation. J Postgrad Med. 2000;46(1):31–32.

Shokeir A, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis: a 15-year experience with 20 cases. Urology. 1997;49(3):343–346. doi: 10.1016/S0090-4295(96)00501-8. DOI: https://doi.org/10.1016/S0090-4295(96)00501-8

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