Renal Allograft Malakoplakia Presenting as a Pseudotumoral Lesion

Autor: Vikarn Vishwajeet, Aasma Nalwa, Mahendra Kumar Jangid, Gautam Ram Choudhary, Pushpinder Khera, Nitin Bajpai, Poonam Abhay Elhence
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Saudi Journal of Kidney Diseases and Transplantation, Vol 34, Iss 4, Pp 371-377 (2023)
Druh dokumentu: article
ISSN: 1319-2442
2320-3838
DOI: 10.4103/1319-2442.395454
Popis: Malakoplakia is an uncommon inflammatory disease that can involve many organ systems but is often encountered in the urogenital tract. Kidney allograft malakoplakia is even rarer and can have a diffuse parenchymal or a pseudotumoral presentation. We describe a case of grafi malakoplakia in an adult female, who presented with dull aching pain in the right loin, fever, and vomiting. Ultrasonography of the kidney graft showed a heterogeneous lesion (2.6 cm × 2.9 cm), raising suspicion of primary or metastatic renal tumors. The diagnosis was established after a histopathological examination of the kidney biopsy. This pseudotumoral presentation of malakoplakia can mimic renal cell carcinoma, lymphoma, fungal infections, or tuberculosis. It is essential to perform a biopsy for establishing the diagnosis.
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