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[Bladder malacoplakia: apropos of 2 cases]
J M Castillo Gimeno1, F García Herreros, C Mor Gorrochategui
1Hospital Comarcal de Vinaroz, Castellón, España.
Objectives:
To describe two cases of malakoplakia of the bladder with an unusual form of presentation and review the cases previously reported in the literature.
Methods/Results:
Two patients, a 61-year-old female and a 71-year-old male, are described. Both patients had a history of recurrent infection caused by coliform pathogens. Treatment consisted of trimethoprim sulfamethoxazole, ascorbic acid and bethanecol chloride, together with extended TUR of the bladder lesion.
Conclusions:
Although malacoplakia of the bladder is considered to be a benign disease, close follow-up is warranted due to frequent recurrence of symptoms and the difficulty in achieving long-lasting effects since it is frequently associated with immunosuppression.