An Interesting Case of Pyelonephritis

Abstract

67 year old gentle man known case of renal stone

disease was admitted with complaints of right loin pain, fever,

reduced urine output and swelling of limbs for the past 10

days. On evaluation found to have right side pyelonephritis

with staghorn calculi, left hydroureteronephrosis and acute on

chronic kidney disease. He underwent nephrectomy in view of

worsening clinical course. Histopathological examination

proved to be xanthogranulomatous pyelonephritis. He was

improved well after nephrectomy. Xanthogranulomatous

pyelonephritis (XGP) is a rare but devastating disease. It can

be managed surgically. The overall prognosis for XGP is

good. Death from this entity is exceedingly rare, although

morbidity is substantial.