[Xanthogranulomatous pyelonephritis in a child with severe malnutrition and recurrent fever]

Abstract

Xanthogranulomatous pyelonephritis is a rare inflammatory disease, characterized by replacement of renal parenchyma with granulomatous tissue. Initial clinical presentation includes abdominal pain and constitutional symptoms related to recurrent urinary infections. The microorganisms most commonly involved are Escherichia coli and Proteus mirabilis. Final diagnosis is made by histopathology, and the only curative treatment is total or partial nephrectomy. A recently diagnosed case in our unit is presented, as well as an update on the knowledge of this disease.

Keywords: Enfermedad renal; Infección urinaria recurrente; Nefrectomía; Nephrectomy; Pielonefritis xantogranulomatosa; Pionefrosis; Pyelonephritis; Recurrent urinary infection; Renal disease; Xanthogranulomatous pyelonephritis.