All issues > Volume 37(12); 1994

Case Report

J Korean Pediatr Soc. 1994;37(12):1778-1783. Published online December 15, 1994.

A Case of Xanthogranulonatous Pyelinephritis with Idiopathic Hypercalciruia in a Child

Young Jun YJ Kim¹, Hyun Joo HJ Kwak¹, Keun Haeng KH Cho¹, Kee Hwan KH Yoo¹, Young Sook YS Hong¹, Soon Kyum SK Kim¹

¹Depatment of Pediatrics, College of Medicine, Korea Universty, Seoul, Korea

Abstract

Xanthogranulomatous pyelonephritis in childhood is a rare chronic pyelonephritis often assodiated with calculi of urinary tract obstruction, with a clinical presentation of renal mass. A 3-year old boy was admitted to Korea University Hospital complaining of intermittent fever and palpable mass at right upper quadrant of the abdomen. The CBC revealed increased ESR and the finding of iron deficientcy anemia. Proteus mirabilis was cultured form the urine. We found that idiopathic hypercalciuria was affceted also. Intravenous pyelogram. Ultrasonogram and abdominal computerized tomogrhapy demonstrated a multiple cystic lesion with renal calculi at upper and lower pole of right kidney. Right nephrectomy was performed under the suspicion of the renal abscess with renal stone. Postoperatively microscopic examination revealed parencymal destruction with infiltration of foamy phagocytes, giant cells, and plasma cells. In conclusion, we experienced a case of xanthogranulomatous pyelonephritis with idiopathic hypercalcirria in a child. So, we report it with a review of literature.

Keywords :Xantogranulomatous pyelonephritis, Idiopathic hypercalciuria