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Abdominal mass revealing xanthogranulomatous pyelonephritis in an infant.

Abstract Xanthogranulomatous pyelonephritis (XGP) is a chronic pyelonephritis observed in children and exceptionally in infants. Symptomatology is vague and may delay diagnosis and patient's management. Treatment is based on medical therapy but most often on surgery with poor renal prognosis. We report the case of a 15-month old infant with isolated mass in the left flank. He had no fever or alteration of general state and urine cultures were sterile. Radiological evaluation (renal ultrasound, uroscan and renal scintigraphy) highlighted left non-functioning kidney with "hydropyonephrosis" evoking the diagnosis of XGP. The indication for total nephrectomy by lombotomy was posed and definitive anatomo-pathological examination confirmed the diagnosis of diffuse XGP. This observation emphasizes the importance of suspect PXG in patients with renal mass or malformative uropathy with recurrent urinary tract infections whose treatment should be rigorous and codified.
PMID
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Authors

Mayor MeshTerms
Keywords

Pyelonephritis

infant

infection

nephrectomy

Journal Title the pan african medical journal
Publication Year Start




PMID- 28748018
OWN - NLM
STAT- MEDLINE
DA  - 20170727
DCOM- 20170804
LR  - 20170804
IS  - 1937-8688 (Electronic)
VI  - 27
DP  - 2017
TI  - [Abdominal mass revealing xanthogranulomatous pyelonephritis in an infant].
PG  - 17
LID - 10.11604/pamj.2017.27.17.12225 [doi]
AB  - Xanthogranulomatous pyelonephritis (XGP) is a chronic pyelonephritis observed in 
      children and exceptionally in infants. Symptomatology is vague and may delay
      diagnosis and patient's management. Treatment is based on medical therapy but
      most often on surgery with poor renal prognosis. We report the case of a 15-month
      old infant with isolated mass in the left flank. He had no fever or alteration of
      general state and urine cultures were sterile. Radiological evaluation (renal
      ultrasound, uroscan and renal scintigraphy) highlighted left non-functioning
      kidney with "hydropyonephrosis" evoking the diagnosis of XGP. The indication for 
      total nephrectomy by lombotomy was posed and definitive anatomo-pathological
      examination confirmed the diagnosis of diffuse XGP. This observation emphasizes
      the importance of suspect PXG in patients with renal mass or malformative
      uropathy with recurrent urinary tract infections whose treatment should be
      rigorous and codified.
FAU - Ayad, Anass
AU  - Ayad A
AD  - Service de Pediatrie 4, Hopital d'Enfants de Rabat, Maroc.
FAU - Ettouhami, Badr
AU  - Ettouhami B
AD  - Service de Pediatrie 4, Hopital d'Enfants de Rabat, Maroc.
FAU - Thami, Benouachane
AU  - Thami B
AD  - Service de Pediatrie 4, Hopital d'Enfants de Rabat, Maroc.
FAU - Bentahila, Abdelali
AU  - Bentahila A
AD  - Service de Pediatrie 4, Hopital d'Enfants de Rabat, Maroc.
LA  - fre
PT  - Case Reports
PT  - Journal Article
TT  - Masse abdominale chez un nourrisson revelant une pyelonephrite
      xanthogranulomateuse.
DEP - 20170508
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Abdomen/*pathology
MH  - Humans
MH  - Infant
MH  - Male
MH  - Nephrectomy/*methods
MH  - Pyelonephritis, Xanthogranulomatous/*diagnosis/pathology/surgery
PMC - PMC5511720
OTO - NOTNLM
OT  - Pyelonephritis
OT  - infant
OT  - infection
OT  - nephrectomy
EDAT- 2017/07/28 06:00
MHDA- 2017/08/05 06:00
CRDT- 2017/07/28 06:00
PHST- 2017/03/10 [received]
PHST- 2017/03/24 [accepted]
AID - 10.11604/pamj.2017.27.17.12225 [doi]
AID - PAMJ-27-17 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 May 8;27:17. doi: 10.11604/pamj.2017.27.17.12225. eCollection
      2017.