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Development of fatal bilateral xanthogranulomatous pyelonephritis in a paraplegic patient: case report
A K Goswami1, B Suryaprakash, A K Malik
1Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Abstract:
The first case of a bilateral xanthogranulomatous pyelonephritis (XGPN) is reported in a paraplegic patient who did not practise intermittent catheterisation after discharge from the hospital but resorted to the Crede manoeuvre which predisposed to a fatal urinary tract infection and development of XGPN over a period of 5 weeks. The advantages of clean, unsterile, intermittent self catheterisation over the Crede manoeuvre in patients with a neuropathic bladder are discussed especially in preventing infective complications of the upper urinary tract which may prove life threatening as occurred in this patient.