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Prediagnostic malakoplakia presenting as a chronic inflammatory mass in the soft tissues of the neck

Published online by Cambridge University Press:  29 June 2007

A. G. Douglas-Jones ,
C. Rodd ,
E. M. V. James  and
R. G. S. Mills
A. G. Douglas-Jones*
Affiliation:
Departments of ENT and Pathology, University Hospital of Wales, Heath Park, Cardiff CF4 4XN.
C. Rodd
Affiliation:
Departments of ENT and Pathology, University Hospital of Wales, Heath Park, Cardiff CF4 4XN.
E. M. V. James
Affiliation:
Departments of ENT and Pathology, University Hospital of Wales, Heath Park, Cardiff CF4 4XN.
R. G. S. Mills
Affiliation:
Departments of ENT and Pathology, University Hospital of Wales, Heath Park, Cardiff CF4 4XN.
*
Dr A. G. Douglas-Jones, Pathology Department, University Hospital of Wales, Heath Park, Cardiff, South Glamorgan CF4 4XN.
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Abstract

Malakoplakia presenting in the head and neck is very rare. We present a case of an inflammatory mass in the neck, clinically mimicking actinomycosis in a 67-year-old man. Repeated culture of E. coli and histological and electron microscopic examination of biopsy material showed an infiltration of granular macrophages and intracellular gram negative bacilli, but no classical Michaelis-Gutmann bodies. The clinical and pathological findings and criteria for the diagnosis of malakoplakia are discussed.

Keywords

MalacoplakiaNeck
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 2 , February 1992 , pp. 173 - 177
Copyright
Copyright © JLO (1984) Limited 1992

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