[Renal parencymal malacoplakia successfully treated with conservative therapy; a case report].
Malacoplakia is a relatively rare form of chronic granulomatous inflammation. Which occurs most frequently in the genito-urinary system, but renal parenchymal involvement is rare. We present a case of malacoplakia of the renal parenchyma. A 69-year-old woman with left renal mass was referred to our department. Abdominal enhanced CT scan revealed heterogeneous mass in the left kidney (50 x 45 mm). CT-guided percutaneous left renal needle biopsy confirmed the diagnosis of renal malakoplakia. We successfully treated her with oral levofloxacin. The lesion resolved after the 4-months-therapy, and there has been no recurrence for 22 months since the treatment.
Division of Urology, Shinko Hospital.
Isao
I
Taguchi
Tomoaki
T
Terakawa
Hiroyuki
H
Tsunemori
Osamu
O
Imanishi
Nozomu
N
Yamanaka
Takeshi
T
Kondo
Rieko
R
Ito
D000284:Administration, Oral; D000368:Aged; D001707:Biopsy, Needle; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D064704:Levofloxacin; D008287:Malacoplakia / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D015242:Ofloxacin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D064704:Levofloxacin; D015242:Ofloxacin