We report a case of pseudotuberculous granulomatous pyelitis in an elderly female patient with hydronephrotic right kidney secondary to obstructing urinary stone. Pseudotuberculous granulomatous pyelitis is a rarely reported entity, characterized by severe granulomatous inflammation limited predominantly to the renal pelvis. It is associated with urinary (pelvicalyceal) obstruction, urolithiasis well as non-Mycobacterial urinary tract infection.
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MuldoonCHickeyDMurphyDKayE. Pseudotuberculous pyelonephritis: a rare entity and a diagnostic pitfall. Histopathology. 1999;35:181-183.
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KimSWYeumCHNahMY. Pseudotuberculous pyelonephritis in a patient with autosomal dominant polycystic kidney disease undergoing long-term haemodialysis. Nephrol Dial Transplant2001;16:1729-1730.
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IkedaDFukudaMTakashimaHFuseHHiranoSMasudaS. Pseudotuberculous pyelonephritis associated with staghorn calculus: a case report [in Japanese]. Nippon Hinyokika Gakkai Zasshi. 2003;94:29-32.
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LeeJHChoiHSKimJK. Nonrefluxing neonatal hydronephrosis and the risk of urinary tract infection. J Urol. 2008;179:1524-1528.
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JohansenTECekMNaberKGStratchounskiLSvendsenMVTenkeP. Hospital acquired urinary tract infections in urology departments: pathogens, susceptibility and use of antibiotics. Data from the PEP and PEAP-studies. Int J Antimicrob Agents. 2006;28(suppl 1):S91-S107.
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