Curran K A, Peterson J C, Croker B P, Drane W E, Tisher C C
Department of Medicine, University of Florida College of Medicine, Gainesville.
Am J Nephrol. 1990;10(5):416-21. doi: 10.1159/000168160.
A middle-aged female was admitted with a presumptive diagnosis of pyelonephritis that failed to respond to conventional antibiotic therapy. Multiple investigations to define the etiology of the persistent fever and accompanying acute renal failure were negative. A gallium scan revealed intense uptake in the renal parenchyma. Percutaneous renal biopsy revealed malacoplakia. Six weeks of therapy with ciprofloxacin resulted in resolution of fever, improvement in the follow-up gallium scan, and reversal of the acute renal failure.
