779740 URO Journal of Clinical UrologyDevana et al. Case Report. Infection in Urology Journal of Clinical Urology 1 –4 © British Association of An unusual case of emphysematous Urological Surgeons 2018 Reprints and permissions: pyelonephritis with features of IgG4-related sagepub.co.uk/journalsPermissions.nav https://doi.org/10.1177/2051415818779740 DOI: 10.1177/2051415818779740 tubulointerstitial nephritis on histology journals.sagepub.com/home/uro 1 1 1 Sudheer K Devana , Aditya P Sharma , Ravimohan Mavuduru , 2 1 Ritambhra Nada and Girdhar S Bora Background Immunoglobulin G4-related disease (IgG4-RD) is a fibro- scan showed grossly destructed left renal parenchyma with lymphoproliferative systemic disease which affects a large focus of gas collection measuring 11 cm × 11 cm diverse organs including the kidney, lymph nodes, pan- extending from the PCS into the perinephric space. Minimal creas, salivary glands, liver, gastrointestinal tract, lungs, fluid was also seen within the collection with perinephric retroperitoneum, lacrimal glands, skin and central nerv- stranding surrounding the collection suggestive of Class III 1–3 ous system. IgG4-related kidney disease (IgG4-RKD) EPN (Figure 1). A pigtail drain was placed in the collection manifests as tubulointerstitial nephritis (TIN) with IgG4- which drained pus. The pus culture showed a growth of positive plasma cell infiltration, obliterative phlebitis and Escherichia coli sensitive only to carbapenems.
Journal of Clinical Urology – SAGE
Published: Jun 1, 2018
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