18-fluoro-deoxyglucose positron emission tomography may contribute to the diagnosis and follow-up of malakoplakia

Acta Clin Belg. 2004 May-Jun;59(3):138-42. doi: 10.1179/acb.2004.020.

Abstract

Malakoplakia is a rare inflammatory disease involving most frequently the urinary tract. We present a case of bilateral renal malakoplakia, in which FDG-PET contributed to diagnosis. We made this diagnosis on the basis of clinical presentation, renal biopsy showing a mixed cellular infiltrate with granuloma formation and possible Michaelis-Gutmann bodies, resolution of the lesions after prolonged antibiotic therapy and evidence of leukocyte dysfunction. We briefly discuss the pathophysiology and therapy of this rare and difficult to prove disease and the role of FDG-PET in the diagnosis of inflammatory and infectious diseases.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Infective Agents, Urinary / therapeutic use
  • Antioxidants / therapeutic use
  • Ascorbic Acid / therapeutic use
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Fluorodeoxyglucose F18*
  • Humans
  • Kidney / diagnostic imaging*
  • Kidney / pathology
  • Kidney Diseases / diagnostic imaging*
  • Kidney Diseases / drug therapy
  • Malacoplakia / diagnostic imaging*
  • Malacoplakia / drug therapy
  • Male
  • Radiopharmaceuticals*
  • Tomography, Emission-Computed*
  • Treatment Outcome
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use

Substances

  • Anti-Infective Agents, Urinary
  • Antioxidants
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Ascorbic Acid