# Atypical Clinical Presentation of Xanthogranulomatous Pyelonephritis in a Female Child: A Case Report

## TL;DR

This case report describes a rare kidney disease in a healthy child, showing atypical symptoms and a good prognosis after treatment.

## Contribution

The paper presents an unusual case of XGPN in a child, highlighting its atypical clinical presentation.

## Key findings

- XGPN was diagnosed in a child with flank pain, an uncommon presentation.
- The patient was otherwise healthy, which is atypical for this condition.
- Nephrectomy was performed, and the prognosis was favorable.

## Abstract

Xanthogranulomatous pyelonephritis (XGPN) is an uncommon chronic obstructive renal suppuration disease. Histopathologically, XGPN manifests as lipid-laden macrophage infiltration in renal microstructure and inflammation of an engorged non-functional kidney. Nephrectomy is the standard therapeutic treatment, and the overall prognosis is good. Here, we report a case of XGPN presented as flank pain in an otherwise healthy child.