Malacoplakia presenting with obstructive nephropathy with bilateral ureter involvement.
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.
Sanchez
Lorin M
LM
Emory University School of Medicine, Renal Division, Atlanta, GA 30322-2525, USA. lmsanch@emory.edu
Sanchez
Sean I
SI
Bailey
James L
JL
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