Abstract
The first case of a bilateral xanthogranulomatous pyelonephritis (XGPN) is reported in a paraplegic patient who did not practise intermittent catheterisation after discharge from the hospital but resorted to the Crede manoeuvre which predisposed to a fatal urinary tract infection and development of XGPN over a period of 5 weeks. The advantages of clean, unsterile, intermittent self catheterisation over the Crede manoeuvre in patients with a neuropathic bladder are discussed especially in preventing infective complications of the upper urinary tract which may prove life threatening as occurred in this patient.
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Goswami, A., Suryaprakash, B., Malik, A. et al. Development of fatal bilateral xanthogranulomatous pyelonephritis in a paraplegic patient: case report. Spinal Cord 26, 62–65 (1988). https://doi.org/10.1038/sc.1988.14
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DOI: https://doi.org/10.1038/sc.1988.14
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