Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Jun 16:33:101299.
doi: 10.1016/j.eucr.2020.101299. eCollection 2020 Nov.

A rare presentation of xanthogranulomatous pyelonephritis and emphysematous pyelonephritis complicated with necrotizing fasciitis of scrotum and perineum (fournier gangrene)

Leila Haji Maghsoudi  1 , Mojdeh Navab  2 , Haleh Pak  1
Affiliations
Case Reports

A rare presentation of xanthogranulomatous pyelonephritis and emphysematous pyelonephritis complicated with necrotizing fasciitis of scrotum and perineum (fournier gangrene)

Leila Haji Maghsoudi et al. Urol Case Rep. .

Abstract

We report a case of cooccurrence of xanthogranulomatous and emphysematous pyelonephritis along with necrotizing fasciitis (NF) of scrotum and premium in a patient was nondiabetic and the history of kidney stones. This case a unique presentation of NF due to two pyelonephritis causing fournier gangrene. Surgical management and antibiotics provide an effective management of the disease.

Keywords: Emphysematous; Premium; Pyelonephritis; Scrotum; Xanthogranulomatous.

PubMed Disclaimer

Conflict of interest statement

The authors deny any conflict of interest in any terms or by any means during the study. All the fees provided by research center fund and deployed accordingly.

Figures

Fig. 1
Fig. 1
Extensive gangrene of the scrotum and perineum.
Fig. 2
Fig. 2
CT scan of the abdomen and pelvis without venous contrast.
Fig. 3
Fig. 3
The pathology findings indicated all xanthogranulomatosis.
See this image and copyright information in PMC

References

    1. Shimizu T., Tokuda Y. Necrotizing fasciitis. Intern Med. 2010;49(12):1051–1057. - PubMed
    1. Yasuda T., Tani Y. Necrotizing fasciitis caused by emphysematous pyelonephritis through iliopsoas abscess. J Orthop Sci: Off J Japanese Orthopae Assoc. 2011;16(6):832–835. doi: 10.1007/s00776-011-0073-z. [published Online First: Epub Date]|. - DOI - PubMed
    1. Li L., Parwani A.V. Xanthogranulomatous Pyelonephritis. Archiv Pathol Lab Med. 2011;135(5):671–674. doi: 10.1043/2009-0769-rsr.1. [published Online First: Epub Date]|. - DOI - PubMed
    1. Punekar S., Kinne J., Rao S., Madiwale C., Karhadkar S. Xanthogranulomatous pyelonephritis presenting as emphysematous pyelonephritis: a rare association. J Postgrad Med. 1999;45(4):125. - PubMed
    1. Ishigami K., Bolton-Smith J.A., DeYoung B.R., Barloon T.J. Necrotizing fasciitis caused by xanthogranulomatous and emphysematous pyelonephritis: importance of the inferior lumbar triangle pathway. Am J Roentgenol. 2004;183(6):1708–1710. doi: 10.2214/ajr.183.6.01831708. [published Online First: Epub Date]|. - DOI - PubMed

Publication types

LinkOut - more resources