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Nat Clin Pract Urol. 2008 Sep;5(9):516-9. doi: 10.1038/ncpuro1173.

A case of acute renal failure caused by bilateral, multifocal malacoplakia lesions of the bladder and ureters.

Author information

1
Department ofSurgery, Division of Urology, University of Kentucky Chandler Medical Center, Lexington, KY, USA.

Abstract

BACKGROUND:

A 51-year-old woman with a history of hypertension and a 5-year history of recurrent perimenopausal Escherichia coli urinary tract infections presented with fatigue. She had a history of occasional urinary frequency, but denied gross hematuria, flank pain, abdominal pain, immunodeficiency or immunosuppression.

INVESTIGATIONS:

Basic metabolic profile, ultrasonography, cystoscopy, retrograde pyelography, pathologic evaluation of resected lesions from the bladder, ureteroscopy, pathologic evaluation of resected lesions from the ureters, and MRI.

DIAGNOSIS:

Acute renal failure caused by bilateral, multifocal malacoplakia lesions of the bladder and ureters.

MANAGEMENT:

Endoscopic resection and laser ablation, ureteral stent placement, and medical treatment with fluoroquinolones, vitamin C and bethanechol.

PMID:
18679396
DOI:
10.1038/ncpuro1173
[Indexed for MEDLINE]
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