A Case of Xanthogranulonatous Pyelinephritis with Idiopathic Hypercalciuria in a Child.
- Author:
Young Jun KIM
;
Hyun Joo KWAK
;
Keun Haeng CHO
;
Kee Hwan YOO
;
Young Sook HONG
;
Soon Kyum KIM
- Publication Type:Case Report
- MeSH:
Abdomen;
Abscess;
Anemia;
Calculi;
Child*;
Child, Preschool;
Fever;
Giant Cells;
Humans;
Hypercalciuria*;
Iron;
Kidney;
Kidney Calculi;
Korea;
Male;
Nephrectomy;
Phagocytes;
Plasma Cells;
Proteus mirabilis;
Pyelonephritis;
Pyelonephritis, Xanthogranulomatous;
Ultrasonography;
Urinary Tract
- From:Journal of the Korean Pediatric Society
1994;37(12):1778-1783
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Xanthogranulomatous pyelonephritis in childhood is a rare chronic pyelonephritis often assodiated with calculi of urinary tract obstruction, with a clinical presentation of renal mass. A 3-year old boy was admitted to Korea University Hospital complaining of intermittent fever and palpable mass at right upper quadrant of the abdomen. The CBC revealed increased ESR and the finding of iron deficientcy anemia. Proteus mirabilis was cultured from the urine. We found the idiopathic hypercalciuria was affected also. Intravenous pyelogram. ultrasonogram and abdominal computerized tomogrhapy demonstrated a multiple cystic lesion with renal calculi at upper and lower pole of right kidney. Right nephrectomy was performed under the suspicion of the renal abscess with renal stone. Postoperatively microscopic examination revealed parenchymal destruction with infiltration of foamy phagocytes, giant cells, and plasma cells. In conclusion, we experienced a case of xanthogranulomatous pyelonephritis with idiopathic hypercalciuria in a child. So, we report it with a review of literature.
