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Fatal nephrobronchial fistula arising from xanthogranulomatous pyelonephritis: a case report.
Burbano, María Alejandra; Nati-Castillo, H A; Castaño-Giraldo, Natalia; López, Gildardo; Placencia-André, Romina; Salazar-Santoliva, Camila; Villavicencio-Gomezjurado, Melissa; Izquierdo-Condoy, Juan S.
Afiliação
  • Burbano MA; Interinstitutional Internal Medicine Group (GIMI 1), Department of Internal Medicine, Universidad Libre, Cali, Colombia.
  • Nati-Castillo HA; Interinstitutional Internal Medicine Group (GIMI 1), Department of Internal Medicine, Universidad Libre, Cali, Colombia.
  • Castaño-Giraldo N; Urology Department, School of Medicine, Universidad de Cartagena, Cartagena, Colombia.
  • López G; Interinstitutional Internal Medicine Group (GIMI 1), Department of Internal Medicine, Universidad Libre, Cali, Colombia.
  • Placencia-André R; One Health Research Group, Universidad de las Americas, Quito, Ecuador.
  • Salazar-Santoliva C; One Health Research Group, Universidad de las Americas, Quito, Ecuador.
  • Villavicencio-Gomezjurado M; One Health Research Group, Universidad de las Americas, Quito, Ecuador.
  • Izquierdo-Condoy JS; One Health Research Group, Universidad de las Americas, Quito, Ecuador.
Front Med (Lausanne) ; 11: 1374043, 2024.
Article em En | MEDLINE | ID: mdl-39206170
ABSTRACT

Introduction:

Nephrobronchial fistula is an exceptionally rare complication of renal infections, including the uncommon xanthogranulomatous pyelonephritis. Existing literature is limited to a few case reports, with antibiotic therapy and nephrectomy being the preferred treatments. Case We present the case of a 63-year-old woman with a history of recurrent xanthogranulomatous pyelonephritis in her right kidney, requiring drainage through lumbotomy. She presented with a chronic dry cough and weight loss, without other noticeable symptoms. Imaging suggested a pulmonary abscess and nephrobronchial fistula. Despite antibiotic treatment and surgical intervention, her condition progressed fatally.

Conclusion:

Nephrobronchial fistulas are extremely complications of renal infections, often presenting with nonspecific symptoms. This case highlights their significant impact on morbidity and mortality, especially in resource-limited settings, and underscoring the urgent need for prompt diagnosis and treatment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Front Med (Lausanne) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Front Med (Lausanne) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Suíça