Presentation
A case of isolated bilateral xanthogranulomatous perinephritis, which presented as a symmetrical irregular perirenal rim of soft tissue, is reported. [ncbi.nlm.nih.gov]
Bilateral presentation is rare: in a review of 14 cases which presented to two different centres, only one case was bilateral [1]. Although the visual field involvement may be variable [6], optic perineuritis tends to spare the central vision [1]. [hindawi.com]
The present case suggests that patients with confirmed SARS-CoV-2 positivity, even without pulmonary or other classic manifestations of active infection, may manifest diverse clinical presentations including postinfectious OPN that could be related to [unboundmedicine.com]
Detailed analysis of 29 cases and a brief discussion of atypical presentations. J Urol 126 :437–442, 1981 PubMed Google Scholar 16. [link.springer.com]
Entire Body System
- Malaise
Medical history was significant for meningitis as a teenager, right hip arthroscopy and malaise and rash following insect bites in Cuba 18 months prior to the current presentation. [cambridge.org]
- Flank Mass
A flank mass is palpable if the abscess is large or located in the inferior pole of the kidney space (9-47%). A renal malignancy must be ruled out in these patients with appropriate radiographic studies (eg, CT scanning, MRI). [emedicine.medscape.com]
- Vietnamese
Claus ( German ), Vangelis Katsoulas ( Greek ), Roberto Marchesi ( Italian ), Robin van der Vliet ( Esperanto ), Reno Rake ( Indonesian ), Nahuel Rodríguez ( Spanish ), Gao Pan ( Chinese ), Hoài Sang Lăng ( Vietnamese ) EUdict is online since May 9, 2005 [eudict.com]
- Turkish
Falzon – author of the English-Maltese dictionary András Tuna – for smart suggestions about improving this site Interface translation : Tomislav Kuzmić ( Croatian ), Vasudevan Tirumurti, Fahim Razick ( Tamil ), Matti Tapanainen ( Finnish ), Ebru Bağlan ( Turkish [eudict.com]
Cardiovascular
- Thrombosis
Key words Xanthogranulomatous pyelonephritis Thrombosis, renal vein Thrombosis, inferior vena cava Renal infection, CT diagnosis This is a preview of subscription content, log in to check access. Preview Unable to display preview. [link.springer.com]
We present a case of locally invasive xanthogranulomatous perinephritis associated with thrombosis of the renal vein and inferior vena cava. [ncbi.nlm.nih.gov]
2419695 ) Freissmuth M....SchA1tz W. 1986 16 Cardiac and lymphocyte beta-adrenoceptors in perinephritis hypertension in the rabbit. ( 2425174 ) Jones C.R....Reid J.L. 1986 17 Xanthogranulomatous perinephritis: unusual cause of renal vein and vena caval thrombosis [malacards.org]
Neurologic
- Irritability
Pleuritic pain may occur due to diaphragmatic irritation. If the abscess is pressing the adjacent nerves, the referred pain may be felt in the groin, thighs, or knees. Physical findings include flank or costovertebral tenderness. [emedicine.medscape.com]
Urogenital
- Flank Pain
Diagnosis of a perinephric abscess should be considered in any patient with fever and abdominal or flank pain. [emedicine.medscape.com]
Workup
No further details of their workup and clinical course were provided. We were unable to retrieve any cases of OPN attributable to Crohn’s disease that spontaneously resolved without treatment. [karger.com]
Since optic perineuritis is frequently associated with systemic diseases, it is important to perform a tailored systemic workup focused on the most likely etiologies of optic perineuritis. [e-tjo.org]
As bilateral OPN may mimic a spectrum of diseases, MRI is a useful part of the diagnostic workup. Competing Interests The authors declare that they have no competing interests. References V. Purvin, A. Kawasaki, and D. M. [hindawi.com]
She underwent extensive workup to rule out autoimmune and infective conditions however no significant findings noted except her blood was slightly anemic. Subsequently, her vision improves spontaneously. She was discharged with the vision on 6/18. [acquaintpublications.com]
Further workup was done to rule out any inflammatory disorder. It revealed elevated ESR (37 mm/h) and CRP (22.7 mg/L). [ijo.in]
Microbiology
- Pseudomonas
Other gram-negative bacteria that can cause this infection include Klebsiella, Enterobacter, Pseudomonas, Serratia, and Citrobacter species. Occasionally, the infection can occur from enterococci infection. [emedicine.medscape.com]
Treatment
Treatment is now actively pro moted by public health agencies, including the World Health Organization. This is an other case of treatment preceding full understanding of the nature of the disease. [books.google.de]
Medical treatment of renal and perirenal abscesses: CT evaluation. Clin Radiol 1999;54:792-7. >Journals >Revista Mexicana de Urología >Year 2011, Issue 2 [new.medigraphic.com]
A medical practitioner should always be consulted for diagnosis and treatment of all medical conditions. [hospitalhelp.co.uk]
It has been asserted that OPN requires prompt treatment in all cases. [karger.com]
Prognosis
Prognosis OPN usually has a relatively good visual prognosis. Unlike ON, OPN is not associated with multiple sclerosis. The prognosis is influenced by the gap between the onset of visual loss and the initiation of steroid therapy. [bmjophth.bmj.com]
Even though many different conditions can lead to OPN, overall, the prognosis of OPN remains good save for mucormycosis associated with OPN where the prognosis is generally poor. [mathewsopenaccess.com]
Chwalisz Medicine Current opinion in ophthalmology 2022 High-dose oral corticosteroids are the mainstay of treatment in OPN, which usually has a relatively good visual prognosis, influenced by delays between the onset of visual loss and the initiation [semanticscholar.org]
It is very important to identify etiology and clinical characteristics of patients with OPN, and it will affect the treatment or prognosis. [frontiersin.org]
Etiology
With this constellation of findings, infections as well as malignant etiologies should be considered in the differential diagnosis. [ncbi.nlm.nih.gov]
Etiologies of optic perineuritis are varied and include inflammatory, infectious, neoplastic, and toxic entities. [ingentaconnect.com]
Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decses2014.bvsalud.org]
English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology [decs.bvs.br]
Epidemiology
Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET [decses2014.bvsalud.org]
Allowable Qualifiers English : BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
[…] novelists, and prose writers Literary studies - plays and playwrights Literary studies - poetry and poets Literary theory and cultural studies Shakespeare studies and criticism Media studies Medicine and health Clinical Medicine Dentistry Public Health and Epidemiology [oxfordreference.com]
Infectious diseases alter kidney transplantation: current epidemiology and associated risk factors. Clin Transplant 2006;20:401-9. Humar A, Matas A. Surgical complications after kidney transplantation. Semin Dial 2005; 18: 505-510. [new.medigraphic.com]
Pathophysiology
The pathophysiology shows the involvement of fibroblastic, lymphocytic, and plasmocytic infiltration of cavernous sinus which may extend to superior orbital fissure and may involve optic nerve [7]. Dr. [acquaintpublications.com]
Biopsied and excised nerves of patients with OPN who experienced vision loss have demonstrated optic nerve demyelination or vasculitic changes causing infarction.[1] Pathophysiology The pathophysiology of OPN may reflect the underlying cause and most [eyewiki.aao.org]
Prevention
Top Problem Sustainability Solution Customers Benefits Team Digital AI-powered assistant to prevent harm from medication NO ONE SHOULD BE HARMED IN HEALTHCARE Medication errors are still the 6th leading cause of death Every 2nd adverse event is preventable [epha.health]
[…] diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology EH ethnology ET etiology GE genetics HI history IM immunology ME metabolism MI microbiology MO mortality NU nursing PS parasitology PA pathology PP physiopathology PC prevention [decses2014.bvsalud.org]
During the course of experiments designed to prevent the development of renal cortical collateral circulation, cellophane was tried because it was believed that it would cause little damage to the tissues. [jamanetwork.com]
Prompt treatment of the underlying renal infection is required to prevent progression to an abscess. * * * peri·ne·phri·tis (per″e-n ə -friґtis) [ peri- + nephr- + -itis ] inflammation of perinephric tissue, marked by fever, local pain, and tenderness [medicine.academic.ru]