A 44 yrs. male presents with recurrent left pyelonephritis and Proteus infection. His kidney is dilated and contains a stone. A renal biopsy showed foamy macrophages with neutrophils and cellular debris. What is the treatment?
PCNL after treating the infection
cystoscopy and placing a retrograde ureteral stent followed by ESWL
perc. nephrostomy and placing antegrade ureteral stent
nephrectomy
Correct Answer :
D. nephrectomy
the diagnosis is xanthogranulomatous pyelonephritis. Nephrectomy is the treatment.
Related Questions
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medical management is often unsuccessful
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10%
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adherence of bacteria to vaginal cells
vaginal dryness
O serogroup
vaginal pH
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asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria
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mast cells
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patients with indwelling catheters
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hypertension
sickle cell hemoglobinopathy
sarcoidosis
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type I
type II
type III
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nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
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kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
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type I
type II
type III
type IV
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