Emphysematous and xanthogranulomatous pyelonephritis: rare diagnosis

• Autor(a) principal: Ramos,Lya Duarte
• Data de Publicação: 2010
• Outros Autores: Lima,Marinus de Moraes, Carvalho,Maurício de, Silva Júnior,Geraldo Bezerra da, Daher,Elizabeth De Francesco
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Infectious Diseases
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000400011
• topic: xanthogranulomatous pyelonephritis; emphysematous pyelonephritis; urinary tract infection; nephrostomy; nephrectomy; surgery

Pyelonephritis is a pyogenic infection of renal parenchyma that involves the renal pelvis. It is generally of easy diagnosis. The present case report aims to describe two different manifestations of this infection: xanthogranulomatous pyelonephritis and emphysematous pyelonephritis, which have poor prognosis and require a more effective treatment. The two cases were women in the fiftieth and sixtieth decade of life, with diabetes mellitus and history of weight loss. The diagnosis of the renal infection was established through computed tomography and the treatment was based in surgical procedure, with favorable outcome.