Sanchez LM, Sanchez SI, Bailey JL
Malacoplakia presenting with obstructive nephropathy with bilateral ureter involvement. [Journal Article]
Nat Rev Nephrol 2009 Jul; 5(7):418-22.
Background. A 48-year-old woman with chronic urinary tract infections presented with uremia. Imaging studies revealed bilateral hydronephrosis and segmental ureteral thickening.Investigations. Physical examination, urine and blood analysis, radiography of the chest, chest CT, abdominal and pelvis CT, renal ultrasonography, cystoscopy, anterograde pyelogram, bladder biopsy.Diagnosis. Malacoplakia involving bilatateral ureters and bladder; cavitary pneumonia.Management. Hemodialysis, placement of bilateral percutaneous nephrostomy tubes, administration of ciprofloxacin, ascorbic acid and bethanechol.
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