title: Malacoplakia presenting with obstructive nephropathy with bilateral ureter involvement.
abstract: BACKGROUND
  A 48-year-old woman with chronic urinary tract infections presented with uremia. Imaging studies revealed bilateral hydronephrosis and segmental ureteral thickening.
  
  
  METHODS
  Physical examination, urine and blood analysis, radiography of the chest, chest CT, abdominal and pelvis CT, renal ultrasonography, cystoscopy, anterograde pyelogram, bladder biopsy.
  
  
  METHODS
  Malacoplakia involving bilatateral ureters and bladder; cavitary pneumonia.
  
  
  RESULTS
  Hemodialysis, placement of bilateral percutaneous nephrostomy tubes, administration of ciprofloxacin, ascorbic acid and bethanechol.
authors: Emory University School of Medicine, Renal Division, Atlanta, GA 30322-2525, USA. lmsanch@emory.edu
authors: Lorin M
authors: LM
authors: Sanchez
authors: Sean I
authors: SI
authors: Sanchez
authors: James L
authors: JL
authors: Bailey
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008287:Malacoplakia / Q000150:complications* / Q000175:diagnosis*; D014517:Ureteral Obstruction / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy