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Malakoplakia of the neck
Sebastien Schmerber1, Sylvie Lantuejoul, Jean-Pierre Lavieille
1Department of Ear, Nose, and Throat Surgery, Grenoble University Hospital, Grenoble, France. sebastian.schmerber@clubadsl.fr
Archives of Otolaryngology--Head & Neck Surgery
|November 19, 2003
Summary
Head and neck malakoplakia is rare. This case report details a cervical malakoplakia diagnosis in a 76-year-old man, highlighting its uncommon presentation and successful treatment.
Area of Science:
- Pathology
- Oncology
- Infectious Disease
Background:
- Malakoplakia is a rare chronic inflammatory condition.
- It most commonly affects the genitourinary tract.
- Often associated with immunodeficiency.
Observation:
- A 76-year-old man presented with a neck mass.
- The mass mimicked a tumor but was diagnosed as cervical malakoplakia.
- This is the second reported case of neck malakoplakia.
Findings:
- Histopathology revealed von Hansemann cells with Michaelis-Gutmann bodies.
- Escherichia coli was identified as the causative bacterium.
- Diagnosis confirmed pathognomonic signs of malakoplakia.
Implications:
- Highlights the rare presentation of malakoplakia in the head and neck.
- Emphasizes the importance of histopathological diagnosis for nonspecific symptoms.
- Successful management involves surgical excision and prolonged fluoroquinolone therapy.