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Malacoplakia presenting with obstructive nephropathy with bilateral ureter involvement
Lorin M Sanchez1, Sean I Sanchez, James L Bailey
1Emory University School of Medicine, Renal Division, Atlanta, GA 30322-2525, USA. lmsanch@emory.edu
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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