Gallium scan in the diagnosis and treatment of renal malacoplakia.
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.
Curran
K A
KA
Department of Medicine, University of Florida College of Medicine, Gainesville.
Peterson
J C
JC
Croker
B P
BP
Drane
W E
WE
Tisher
C C
CC
D002939:Ciprofloxacin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004927:Escherichia coli Infections / Q000188:drug therapy; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000382:microbiology; D008287:Malacoplakia / Q000000981:diagnostic imaging* / Q000382:microbiology; D008875:Middle Aged; D011704:Pyelonephritis / Q000188:drug therapy / Q000382:microbiology; D011877:Radionuclide Imaging
D005710:Gallium Radioisotopes; D002939:Ciprofloxacin