system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Xantho granulomatous infection is caused by:
assistant
The correct answer is  Ans. (d) All of the aboveRef: Urologic emergencies-A Practical Approach, P 117- 118* Xantho-granulomatous pyelonephritis (XGP) is the end result of severe, chronic infection of the kidney, seen in ~ 0.6 to 1.4% of renal inflammations.* The combination of urinary obstruction, nephrolithiasis, and UTI are important elements in the development of XGP.* Infection is usually secondary to E.coli, or Proteus Mirabilis.* Most patients present with recurrent fevers and urosepsis, anemia, and a painful renal mass.* Microscopically, there are granulomas and lipid-laden macrophages around the abscess.