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- Title
Xanthogranulomatous pyelonephritis infected with the Providencia stuartii: a case report and literature review.
- Authors
Xu, Zhunan; Cai, Tong; Zhang, Xuebao; Wu, Jitao; Liu, Chu
- Abstract
Background: Xanthogranulomatous 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 presentation: Herein, 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. Discussion: The 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.
- Subjects
PYELONEPHRITIS; ESCHERICHIA coli; HOSPITAL admission &; discharge; LITERATURE reviews; LASER lithotripsy; DIAGNOSIS
- Publication
BMC Nephrology, 2021, Vol 22, Issue 1, p1
- ISSN
1471-2369
- Publication type
Case Study
- DOI
10.1186/s12882-021-02565-x