{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T22:40:02Z","timestamp":1685400002335},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,2,1]]},"abstract":"<jats:p>A malacoplakia szerzett granulomatosus megbeteged\u00e9s, amelyet els\u0151k\u00e9nt<jats:italic>Michaelis<\/jats:italic>\u00e9s<jats:italic>Gutmann<\/jats:italic>\u00edrtak le 1902-ben. Patogenezise nem tiszt\u00e1zott, feltehet\u0151en a macrophagok baktericid defektusa miatt m\u00e1sodlagosan, t\u00f6bbnyire immunszupprim\u00e1lt betegekben alakul ki.<jats:italic>Esetismertet\u00e9s:<\/jats:italic>A 63 \u00e9ves n\u0151beteg 10 \u00e9ve pulmonalis sarcoidosis miatt methylprednisolonter\u00e1pi\u00e1ban r\u00e9szes\u00fclt. F\u00e9l \u00e9ve visszat\u00e9r\u0151 alhasi (hasfali) t\u00e1lyog alakult ki, amelynek k\u00f3rsz\u00f6vettani vizsg\u00e1lata malacoplaki\u00e1t igazolt. A folyamat vesicocutan fistul\u00e1val sz\u00f6v\u0151d\u00f6tt. A t\u00e1lyogb\u00f3l<jats:italic>E. coli<\/jats:italic>teny\u00e9szett ki.<jats:italic>M\u00f3dszer:<\/jats:italic>A vizsg\u00e1lati anyagon hematoxilin-eozin fest\u00e9st, perj\u00f3dsavas Schiff-, berlinik\u00e9k \u00e9s Kossa-reakci\u00f3kat v\u00e9geztek.<jats:italic>Eredm\u00e9nyek:<\/jats:italic>Mikroszk\u00f3posan von Hansemann-f\u00e9le macrophagok, PAS- \u00e9s Kossa-reakci\u00f3val Michaelis\u2013Gutmann-testek voltak megfigyelhet\u0151k. Az urol\u00f3giai-seb\u00e9szi ell\u00e1t\u00e1s (fistulareszekci\u00f3) \u00e9s az azt k\u00f6vet\u0151 antibiotikus kezel\u00e9s hat\u00e1s\u00e1ra a beteg panasz- \u00e9s t\u00fcnetmentess\u00e9 v\u00e1lt.<jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>A malacoplakia \u2013 b\u00e1r sz\u00e1mos anat\u00f3miai lokaliz\u00e1ci\u00f3ban le\u00edrt\u00e1k \u2013 leggyakrabban az urogenitalis rendszer szerveiben fordul el\u0151. Hasfali, kismedencei fistul\u00e1kkal j\u00e1r\u00f3 esetek ismeretesek.<jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>Beteg\u00fckn\u00e9l a sarcoidosis \u00e9s a k\u00f6vetkezm\u00e9nyes t\u00edz\u00e9ves methylprednisolonter\u00e1pia immunszuppressz\u00edv \u00e1llapotot tarthatott fenn, amely a kialakult vesicocutan fistul\u00e1t okoz\u00f3 malacoplaki\u00e1val \u00f6sszef\u00fcgg\u00e9sbe hozhat\u00f3. Seb\u00e9szi \u00e9s antibiotikus kezel\u00e9sre a beteg meggy\u00f3gyult.<\/jats:p>","DOI":"10.1556\/oh.2010.28785","type":"journal-article","created":{"date-parts":[[2010,2,2]],"date-time":"2010-02-02T02:02:38Z","timestamp":1265076158000},"page":"220-223","source":"Crossref","is-referenced-by-count":4,"title":["Vesico-cutaneous fistula revealing abdominal wall malakoplakia accompanied by Boeck\u2019s sarcoidosis"],"prefix":"10.1556","volume":"151","author":[{"given":"J\u00f3zsef","family":"Knausz","sequence":"first","affiliation":[{"name":"1 Kanizsai Dorottya K\u00f3rh\u00e1z Seb\u00e9szeti Oszt\u00e1ly Nagykanizsa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"Lipt\u00e1k","sequence":"additional","affiliation":[{"name":"2 Kanizsai Dorottya K\u00f3rh\u00e1z Urol\u00f3giai Oszt\u00e1ly Nagykanizsa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Andr\u00e1sovszky","sequence":"additional","affiliation":[{"name":"3 Kanizsai Dorottya K\u00f3rh\u00e1z Pulmonol\u00f3giai Oszt\u00e1ly Nagykanizsa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferenc","family":"Baranyay","sequence":"additional","affiliation":[{"name":"4 Kanizsai Dorottya K\u00f3rh\u00e1z Patol\u00f3giai Oszt\u00e1ly Nagykanizsa Szekeres J. u. 2\u20138. 8800"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","first-page":"208","volume":"47","year":"1902","journal-title":"Z. 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