Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia

Renal malakoplakia is a rare inflammatory disorder that predominantly affects the bladder, but has also been known to affect the kidneys. We present a case of a young woman with renal malakoplakia and concomitant E. coli bacteremia. The patient underwent numerous imaging studies during her clinical...

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Main Authors: Nicholas E. Henlon, MS4, Elliot K. Fishman, MD, Erin N. Gomez, MD
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322010329
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author Nicholas E. Henlon, MS4
Elliot K. Fishman, MD
Erin N. Gomez, MD
author_facet Nicholas E. Henlon, MS4
Elliot K. Fishman, MD
Erin N. Gomez, MD
author_sort Nicholas E. Henlon, MS4
collection DOAJ
description Renal malakoplakia is a rare inflammatory disorder that predominantly affects the bladder, but has also been known to affect the kidneys. We present a case of a young woman with renal malakoplakia and concomitant E. coli bacteremia. The patient underwent numerous imaging studies during her clinical evaluation including ultrasound, magnetic resonance imaging, and computed tomography with 3-dimensional and cinematic renderings. Diagnosis was ultimately confirmed with renal biopsy which demonstrated Michaelis-Gutman bodies, a pathognomonic pathological finding in malakoplakia. She was started on antibiotics as well as bethanechol and ascorbic acid. Although her renal function improved with this treatment, she continued to have signs and symptoms of infection and she is planned for upcoming left nephrectomy.
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spelling doaj.art-6f0b83ca99814278add39a8032c349a22022-12-22T04:41:50ZengElsevierRadiology Case Reports1930-04332023-02-01182709714Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremiaNicholas E. Henlon, MS40Elliot K. Fishman, MD1Erin N. Gomez, MD2The Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA; Corresponding author.The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USAThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD 21205, USARenal malakoplakia is a rare inflammatory disorder that predominantly affects the bladder, but has also been known to affect the kidneys. We present a case of a young woman with renal malakoplakia and concomitant E. coli bacteremia. The patient underwent numerous imaging studies during her clinical evaluation including ultrasound, magnetic resonance imaging, and computed tomography with 3-dimensional and cinematic renderings. Diagnosis was ultimately confirmed with renal biopsy which demonstrated Michaelis-Gutman bodies, a pathognomonic pathological finding in malakoplakia. She was started on antibiotics as well as bethanechol and ascorbic acid. Although her renal function improved with this treatment, she continued to have signs and symptoms of infection and she is planned for upcoming left nephrectomy.http://www.sciencedirect.com/science/article/pii/S1930043322010329MalakoplakiaRenalImagingCTMRIUltrasound
spellingShingle Nicholas E. Henlon, MS4
Elliot K. Fishman, MD
Erin N. Gomez, MD
Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia
Radiology Case Reports
Malakoplakia
Renal
Imaging
CT
MRI
Ultrasound
title Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia
title_full Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia
title_fullStr Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia
title_full_unstemmed Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia
title_short Multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with E. coli bacteremia
title_sort multimodal imaging appearance including cinematic rendering of renal malakoplakia in a patient with e coli bacteremia
topic Malakoplakia
Renal
Imaging
CT
MRI
Ultrasound
url http://www.sciencedirect.com/science/article/pii/S1930043322010329
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