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End stage renal disease due to bilateral renal malakoplakia

Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle, UK

Correspondence to:
Correspondence to:
Dr M G Coulthard
Department of Paediatric Nephrology, Royal Victoria Infirmary, Newcastle NE1 4LP, UK; malcolm.coulthard{at}nuth.northy.nhs.uk

ABSTRACT
Malakoplakia typically affects the bladders of immunocompromised adults who have defective intracellular killing of Escherichia coli. Renal malakoplakia is rare in children and generally has a good outcome. In the case presented, however, it caused end stage renal failure in a 5 year old girl. The management dilemmas surrounding renal transplantation are highlighted.

Keywords: end stage renal failure; malakoplakia

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