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Vol. 14. Issue 4.
Pages 374-376 (July - August 2010)
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Vol. 14. Issue 4.
Pages 374-376 (July - August 2010)
Case report
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Emphysematous and xanthogranulomatous pyelonephritis: rare diagnosis
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Lya Duarte Ramos1, Marinus de Moraes Lima2, Maurício de Carvalho3, Geraldo Bezerra da Silva Júnior2, Elizabeth de Francesco Daher2,
Corresponding author
ef.daher@uol.com.br
geraldobezerrajr@yahoo.com.br

Correspondence to: Rua Vicente Linhares, n° 1198, Fortaleza – CE – Brazil. CEP: 60270-135. Tel.: +55-85-32249725; fax: +55-85-32613777.
1 Division of Internal Medicine, Universidade do Sul de Santa Catarina. Florianópolis, Santa Catarina, Brazil
2 Department of Internal Medicine, School of Medicine, Universidade Federal do Ceará. Fortaleza, Ceará, Brazil
3 Division of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná. Curitiba, Paraná, Brazil
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Abstract

Pyelonephritis is a pyogenic infection of renal parenchyma that involves the renal pelvis. It is generally of easy diagnosis. The present case report aims to describe two different manifestations of this infection: xanthogranulomatous pyelonephritis and emphysematous pyelonephritis, which have poor prognosis and require a more effective treatment. The two cases were women in the fiftieth and sixtieth decade of life, with diabetes mellitus and history of weight loss. The diagnosis of the renal infection was established through computed tomography and the treatment was based in surgical procedure, with favorable outcome.

Keywords:
xanthogranulomatous pyelonephritis
emphysematous pyelonephritis
urinary tract infection
nephrostomy
nephrectomy
surgery
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