Abstract
We report a diabetic patient with xanthogranulomatous perinephric abscess. A 56-year-old woman with uncontrolled diabetes mellitus of 3 years' duration was admitted to our hospital for treatment of a sense of thirst, lumbago and fever. She had often been treated for urinary tract infections. Physical examination disclosed bilateral back pain and a right lumbar hard tumor with tenderness. Urinalysis showed pyuria and leucocyte casts. A specimen of urine obtained by catheter yielded E. coil on culture. Fasting blood glucose was 290 mg/dl, glycohemoglobin A1 13.5%, total cholesterol 177 mg/dl, and triglyceride 193 mg/dl. Renal echography demonstrated a right perinephric mass lesion. After control of diabetes mellitus and inflammation by transfusion, insulin therapy and antibiotics, the mass lesion was drained surgically. Histopathological examination revealed xanthogranulomatous perinephric abscess. We discuss the association between xanthogranulomatous perinephric abscess and diabetes mellitus and consider that good control of diabetes mellitus and early and accurate chemotherapy prevents this condition.
