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Case Reports
. 2020 Jun 3:33:101293.
doi: 10.1016/j.eucr.2020.101293. eCollection 2020 Nov.

Xanthogranulomatous pyelonephritis caused by fusobacterium nucleatum. Case report and review of literature

Faris Abushamma  1   2 , Robyn Perry-Thomas  2 , Caroline Hammond  3 , Alexander D Horsch  4 , Tim Whittlestone  2
Affiliations
Case Reports

Xanthogranulomatous pyelonephritis caused by fusobacterium nucleatum. Case report and review of literature

Faris Abushamma et al. Urol Case Rep. .

Abstract

Xanthogranulomatous pyelonephritisis (XGP) is a rare and aggressive form of chronic urinary tract infection. The most common microorganism is Proteus but other microorganisms have been described in the literature. In this article, we describe a sixty-year-old male who presented with urosepsis and sever thrombocytopenia secondary to Fusobacterium nucleatum urinary tract infection which led to poorly functioning XGP. The rarity of the microorganism and the devastating clinical course encourages us to report it as anaerobes don't usually cause UTI but unusual microorganism should be suspected if the clinical course is atypical or if urinary tract abnormalities are present.

Keywords: Fusobacterium nucleatum; Renal calculi; Urinary tract infection; XGP.

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Conflict of interest statement

The authors have no conflicts of interest.

Figures

Fig. 1
Fig. 1
Images from initial CT CAP.
Fig. 2
Fig. 2
CT images following insertion of left nephrostomy, splenic drain and suprapubic catheter.
Fig. 3
Fig. 3
DMSA scan and CT KUB (5 months later).
See this image and copyright information in PMC

References

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