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06:02
Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
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Xanthogranulomatous Pyelonephritis Presenting as a Psoas Abscess.
Carlota Mendonça1, Sérgio Freitas1, Sara Jesus1
1Family Medicine, Hospital Central do Funchal - Serviço de Saúde da Região Autónoma da Madeira, Entidade Pública Empresarial da Região Autónoma da Madeira (SESARAM, EPERAM), Funchal, PRT.
Cureus
|February 14, 2022
Summary
Xanthogranulomatous pyelonephritis (XGP) is a rare kidney infection. This case highlights XGP presenting as back pain, leading to nephrectomy and temporary leg weakness.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Xanthogranulomatous pyelonephritis (XGP) is a rare, severe kidney infection.
- Characterized by parenchymal destruction due to chronic obstruction and infection.
- Typically results in a non-functioning, enlarged kidney.
Observation:
- This case presented with lumbago (low back pain), an atypical symptom for XGP.
- A psoas abscess, a rare manifestation of XGP, was noted.
- The patient underwent antibiotic treatment and nephrectomy.
Findings:
- The patient developed mild right lower limb monoparesis post-surgery.
- Decreased knee extension strength was observed, requiring a walking stick.
- Despite complications, prompt diagnosis and treatment were crucial.
Implications:
- Highlights the importance of considering rare presentations of XGP.
- Emphasizes the potential for severe outcomes if diagnosis is delayed.
- Suggests careful post-operative monitoring for neurological complications.
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