1.
Nat Rev Nephrol
; 5(7): 418-22, 2009 Jul.
Artículo
en Inglés
| MEDLINE
| ID: mdl-19556995
RESUMEN
BACKGROUND: A 48-year-old woman with chronic urinary tract infections presented with uremia. Imaging studies revealed bilateral hydronephrosis and segmental ureteral thickening. INVESTIGATIONS: Physical examination, urine and blood analysis, radiography of the chest, chest CT, abdominal and pelvis CT, renal ultrasonography, cystoscopy, anterograde pyelogram, bladder biopsy. DIAGNOSIS: Malacoplakia involving bilatateral ureters and bladder; cavitary pneumonia. MANAGEMENT: Hemodialysis, placement of bilateral percutaneous nephrostomy tubes, administration of ciprofloxacin, ascorbic acid and bethanechol.