Malakoplakia and tuberculosis.
A 33 year old woman developed a soft mass in the left anterior neck following treatment for pulmonary tuberculosis. An incisional biopsy was performed and a cold abscess drained. Histology confirmed a diagnosis of tuberculosis. In addition, there were numerous intracellular bodies which resembled the Michaelis-Gutmann bodies of malakoplakia. This case however displayed some atypical histological, histochemical and ultrastructural features, which are highlighted in this report. The mass responded to combination antituberculous treatment.
Govender
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D
Department of Pathology, University of Natal Medical School, Durban, South Africa. govendh@med.und.ac.za
Essa
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AS
D000038:Abscess / Q000382:microbiology / Q000473:pathology; D000328:Adult; D004577:Electron Probe Microanalysis; D005260:Female; D006644:Histiocytes / Q000473:pathology / Q000648:ultrastructure; D006801:Humans; D002479:Inclusion Bodies / Q000648:ultrastructure; D008287:Malacoplakia / Q000382:microbiology / Q000473:pathology*; D008854:Microscopy, Electron; D009333:Neck / Q000382:microbiology / Q000473:pathology*; D014397:Tuberculosis, Pulmonary / Q000150:complications*