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Gallium scan in the diagnosis and treatment of renal malacoplakia
K A Curran1, J C Peterson, B P Croker
1Department of Medicine, University of Florida College of Medicine, Gainesville.
American Journal of Nephrology
|January 1, 1990
Abstract:
A middle-aged female was admitted with a presumptive diagnosis of pyelonephritis that failed to respond to conventional antibiotic therapy. Multiple investigations to define the etiology of the persistent fever and accompanying acute renal failure were negative. A gallium scan revealed intense uptake in the renal parenchyma. Percutaneous renal biopsy revealed malacoplakia. Six weeks of therapy with ciprofloxacin resulted in resolution of fever, improvement in the follow-up gallium scan, and reversal of the acute renal failure.