The Ewha Medical Journal  2015;38(1):36-41

doi:10.12771/emj.2015.38.1.36

Renal Parenchymal Malakoplakia with Acute Interstitial Nephritis Presented with Acute Kidney Injury.

In Mee HAN 1 ; Youn Kyung KEE ; Eunyoung LEE ; Choong Kun LEE ; Seung Gyu HAN ; Su Jin HEO ; Tae Hyun YOO

Affiliations

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Keywords

Interstitial nephritis; Acute kidney injury

Country

Republic of Korea

Language

Korean

Abstract

Malakoplakia is an uncommon chronic granulomatous inflammatory disease which is associated with immunocompromised conditions such as malignancy, autoimmune disease, chronic alcohol intake, poorly controlled diabetes and long-term steroid use. Malakoplakia can occur at various sites, most commonly in the genitourinary tract including urinary bladder and the ureter. Renal parenchymal involvement is relatively uncommon, accounting for 15% of all malakoplakia. A few cases of renal malakoplakia have been reported in Korea, and only one case was accompanied by acute kidney injury. Here we report an 80-year-old female patient with renal parenchymal malakoplakia and acute interstitial nephritis presented as acute kidney injury with literature review.