Table 1.
Summary of XGP cases presenting as Wunderlich syndrome
| Case | Presentation | CBC | UA | Culture (urine or site) | Surgery | Pathology |
|---|---|---|---|---|---|---|
| Canle et al. [15], 2007 | Right lower abdominal pain and asthenia | Hgb 8 9/dl WBC 12000/mm3 |
+leukocyte +Pyuria |
Streptococcus anginosus | Right total nephrectomy | Foamy macrophages aggregates, neutrophils, fibrosis. Inflammatory cell infiltrate |
| Altinoluk et al. [17], 2012 | Right flank pain, fever, nausea | Hgb 6.3 g/dl WBC 16.7/ uL |
Hematuria only | Proteus mirabilis | Right total nephrectomy | Foamy, lipid laden macrophages, giant cells, granulomatous reaction and fibrosis |
| Sharma et al. [16], 2013 | Left flank pain, intermittent fever, weakness x15days | Hgb 9 g/dl WBC 13500/mm3 |
– | Klebsiella | Left total nephrectomy | Chronic granulomatous pyelonephritis. With dilated vascular channels |