Xanthogranulomatous pyelonephritis is a rare, aggressive variant of pyelonephritis, typically caused by chronic infection and nephrolithiasis. It is believed to occur due to obstructive uropathy that leads to an ongoing cycle of infection and inflammation, ultimately resulting in fibrosis. This condition is characterized by the invasion of renal parenchyma by lipid-laden macrophages, known as xanthoma cells), which causes a characteristic yellowish appearance. Diagnosis can be challenging, often being mistaken for renal cell carcinoma, or, less commonly, malakoplakia. A computed tomography scan and histology of the lesion help to confirm the diagnosis. As it can involve adjacent structures or organs, early diagnosis is essential. As xanthogranulomatous pyelonephritis is often diagnosed after loss of renal function in the affected kidney, accompanied by extensive inflammation and fibrosis, a nephrectomy, either laparoscopic or open, is often required. This activity describes the evaluation and management of xanthogranulomatous pyelonephritis, highlighting the role of the interprofessional team in patient care.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/31439
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: IPCE Credits: 1.0 hours
AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABTS - 1.0 Point; Credit Type(s): Accredited CME (ABTS)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
ABTS - 1.0 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Chemical Pathology, General Pediatrics, General Surgery, Hospital Medicine, Infectious Disease, Internal Medicine, Nephrology, Non-Thoracic Surgery, Pediatric Emergency Medicine, Pediatric Infectious Diseases, Pediatric Nephrology, Renal/Medical Renal