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Urol Case Rep. 2020 Jun 03;33:101293. doi: 10.1016/j.eucr.2020.101293. eCollection 2020 Nov.

Xanthogranulomatous pyelonephritis caused by fusobacterium nucleatum. Case report and review of literature.

Urology case reports

Faris Abushamma, Robyn Perry-Thomas, Caroline Hammond, Alexander D Horsch, Tim Whittlestone

Affiliations

  1. Department of Urology, An-Najah National University Hospital, An-Najah National University, Nablus, Palestine.
  2. Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom.
  3. Infectious and Microbiology Department, Southmead Hospital, Bristol, United Kingdom.
  4. Interventional Radiology Department, Southmead Hospital, Bristol, United Kingdom.

PMID: 33101996 PMCID: PMC7573844 DOI: 10.1016/j.eucr.2020.101293

Abstract

Xanthogranulomatous pyelonephritisis (XGP) is a rare and aggressive form of chronic urinary tract infection. The most common microorganism is Proteus but other microorganisms have been described in the literature. In this article, we describe a sixty-year-old male who presented with urosepsis and sever thrombocytopenia secondary to Fusobacterium nucleatum urinary tract infection which led to poorly functioning XGP. The rarity of the microorganism and the devastating clinical course encourages us to report it as anaerobes don't usually cause UTI but unusual microorganism should be suspected if the clinical course is atypical or if urinary tract abnormalities are present.

© 2020 The Authors.

Keywords: Fusobacterium nucleatum; Renal calculi; Urinary tract infection; XGP

Conflict of interest statement

The authors have no conflicts of interest.

References

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