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Review
. 2009 Jul;5(7):418-22.
doi: 10.1038/nrneph.2009.86.

Malacoplakia presenting with obstructive nephropathy with bilateral ureter involvement

Lorin M Sanchez  1 , Sean I Sanchez, James L Bailey
Affiliations
Review

Malacoplakia presenting with obstructive nephropathy with bilateral ureter involvement

Lorin M Sanchez et al. Nat Rev Nephrol. 2009 Jul.

Abstract

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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