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Title: Xanthogranulomatous pyelonephritis : the case of a perplexing kidney
Authors: Said Conti, Valerie
Azzopardi, Christine
Fearne, Christopher
Cuckow, Peter
Keywords: Pyelonephritis
Kidneys -- Diseases -- Case studies
Kidneys -- Hypertrophy
Xanthomonas diseases
Issue Date: 2014
Publisher: BMJ Publishing Group
Citation: Said Conti, V., Azzopardi, C., Fearne, C., & Cuckow, P. (2014). Xanthogranulomatous pyelonephritis: the case of a perplexing kidney. BMJ Case Reports, 1-2.
Abstract: A previously healthy 2-year-old girl presented with turbid urine and pallor. She was otherwise asymptomatic and afebrile. Clinical examination revealed a large ballotable right-sided abdominal mass. Ultrasound revealed an enlarged right kidney with loss of the normal renal architecture, which was replaced with multiple hypoechoic nodules. A number of renal calculi were observed with typical acoustic shadowing. A contrast-enhanced CT scan demonstrated the diagnostic ‘bear’s paw’ sign, multiple calculi, retroperitoneal lymphadenopathy and a small right psoas abscess. A dimercaptosuccinic acid (DMSA) scan demonstrated a non-functioning kidney.
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