How about xanthogranulomatous
This is a chronic destructive
of the renal parenchyma.
It's associated with
obstruction of the urinary tract
and also infected renal stones.
We see this most often
in middle-aged women
who have a history of UTI.
The symptoms that they're going to
present with include flank pain,
anorexia are not being
hungry and weight loss.
You can actually at times palpate
a renal mass at the flank.
Diagnosis again, we're going to
see pyuria on our urine analysis
and a positive urine culture.
But again, this is where we want
to get a CT scan of her patient.
So here we can,
so a CT scan is going to demonstrate
enlarge two kidneys with
perhaps a presence of stones.
And then you're also going to
see on CT this low-density mass
that's xanthomatous tissue.
So if you look here
the image on the left
is actually an axial cut of
a CT scan through the kidneys
and look at that left kidney.
This is that xanthogranulomatous
and if you look at those
that's the xanthomonas material.
The next image beside it is actually
a sagittal section of the CT scan
and once again,
you can see how large that kidney is
and where those xanthomatous
There's also a calculus
in the kidney as well.
That's that bright hyperdensity.
that are involved
in causing xantho granulomatous
pyelonephritis include E.coli,
and staph aureus.
The treatment once again
is going to include broad-spectrum
Most likely patients
will also need a total or at
least a partial nephrectomy.
So this once again,
we'll be calling our
in order to help us out.