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KMID : 0367419940370121778
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Journal of Korean Pediatric Society
1994 Volume.37 No. 12 p.1778 ~ p.1783
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A Case of Xanthogranulonatous Pyelinephritis with Idiopathic Hypercalciuria in a Child
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김영준
곽현주/조근행/유기환/홍영숙/김순겸
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Abstract
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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 from the urine. We found the idiopathic
hypercalciuria
was affected 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 parenchymal destruction with infiltration of foamy phagocytes, giant cells, and plasma cells. In conclusion, we experienced a case of xanthogranulomatous
pyelonephritis
with idiopathic hypercalciuria in a child. So, we report it with a review of literature.
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KEYWORD
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