Testicular malakoplakia

Abstract

Malakoplakia may affect any part of the body, but it is most likely found in the urinary tract in susceptible patients. We present a case of testicular malakoplakia in a male patient who presented with a history of a swollen, painful right testis and a progressively enlarging ulcerating lesion overlying the right hemi-scrotum. After minimal response to a course of antibiotic therapy, we proceeded to a right orchidectomy with high ligation of the spermatic cord and a right hemiscrotectomy with a good result. Histopathological analysis demonstrated Von Hansemann histiocytes and Michaelis-Gutmann bodies, pathognomonic of malakoplakia.