Malakoplakia is a rare granulomatous inflammatory condition, which is usually mistaken as malignant because prostatic malakoplakia can cause the formation of a prostatic mass and thickening of the bladder wall. The diagnosis of malakoplakia requires a histopathologic examination and is strongly supported by the presence of Michaelis-Gutmann bodies. It has been reported that malakoplakia of the prostate (prostatic malakoplakia) may be accompanied by a tumor. We report a case of malakoplakia which was initially diagnosed as prostate carcinoma but revised based on a perineal biopsy. We did not find prostate carcinoma with a 4 year follow-up.
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BMC Infect Dis
October 2024
Department of Pathology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China.
Prostatic malakoplakia is an uncommon chronic inflammatory disorder, tumor-like but non-cancerous, the diagnosis of which pivots crucially on the identification of characteristic Michaelis-Gutmann bodies within the pathological tissue. We hereby present an inaugural case report of prostatic malakoplakia concurrent with sepsis caused by multidrug-resistant Escherichia coli, verified through blood culture and metagenomic next-generation sequencing (mNGS). The pathogenesis might be associated with infections by Escherichia coli, immune system irregularities, or lysosomal dysfunction.
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