Very rare.  Inflammatory granulomatous pathology related to infection by coliforms germs  (mostly in the digstive tract in children and in the urinary tract in adults) in the context of a disorder of cellular immunity. The lesion presents as a soft, yellowish plate. The diagnosis is made at the anatomo-pathological examination: histiocytes 'in target' or shaped as bird's beak with Michaelis and Guetmann basophilic bodies.

Treatment: antibiotics, and cholinergic in cas of bladderinvolvement

Anesthetic implications:

based on lesion location

References : 

-        Debie B, Cosyns J-P, Feyaerts A, Opsomer R-J, Tombal B, Van Cangh PJ, Wese FX.
Malacoplakie chez l’enfant. 
Progrès en Urologie 2005 ; 15 : 511-3.

-          Daeoux M, Frimat M, Mirault T, Fleury D et al. 
Malacoplakie rénale : une cause méconnue d’insuffisance rénale. 
Néphrologie & Thérapeutique 2011 ; 7 : 111-6. 

Updated: January 2019