Colonic Malakoplakia in a Liver Transplant Recipient

Malakoplakia is a rare inflammatory condition seen in transplant patients. There are two previously reported cases of malakoplakia involving the gastrointestinal tract in liver transplant patients. The present paper reports a case of colonic malakoplakia in a 58-year-old woman, a liver transplant re...

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Main Authors: Peter TW Kim, Jennifer E Davis, Siegfried R Erb, Eric M Yoshida, Urs P Steinbrecher
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2007/256031
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author Peter TW Kim
Jennifer E Davis
Siegfried R Erb
Eric M Yoshida
Urs P Steinbrecher
author_facet Peter TW Kim
Jennifer E Davis
Siegfried R Erb
Eric M Yoshida
Urs P Steinbrecher
author_sort Peter TW Kim
collection DOAJ
description Malakoplakia is a rare inflammatory condition seen in transplant patients. There are two previously reported cases of malakoplakia involving the gastrointestinal tract in liver transplant patients. The present paper reports a case of colonic malakoplakia in a 58-year-old woman, a liver transplant recipient who was receiving immunosuppressive drugs. She presented with chronic diarrhea while on tacrolimus. There was no history of antecedent infection. Colonoscopy showed patchy mucosal edema, but no discrete yellow plaques or nodules. The diagnosis was made by colon biopsies, which showed chronic inflammation with many histiocytes containing Michaelis-Gutmann bodies. Although rare, malakoplakia is one of many potential causes of diarrhea in a transplant patient. The present case indicates that malakoplakia may be associated with chronic diarrhea, even if there are no macroscopic lesions seen during colonoscopy.
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publishDate 2007-01-01
publisher Wiley
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series Canadian Journal of Gastroenterology
spelling doaj-art-b6b9c7043bdc436f8a673cc46eb1e3ca2025-08-20T02:23:11ZengWileyCanadian Journal of Gastroenterology0835-79002007-01-01211175375510.1155/2007/256031Colonic Malakoplakia in a Liver Transplant RecipientPeter TW Kim0Jennifer E Davis1Siegfried R Erb2Eric M Yoshida3Urs P Steinbrecher4Department of Surgery, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDivision of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaMalakoplakia is a rare inflammatory condition seen in transplant patients. There are two previously reported cases of malakoplakia involving the gastrointestinal tract in liver transplant patients. The present paper reports a case of colonic malakoplakia in a 58-year-old woman, a liver transplant recipient who was receiving immunosuppressive drugs. She presented with chronic diarrhea while on tacrolimus. There was no history of antecedent infection. Colonoscopy showed patchy mucosal edema, but no discrete yellow plaques or nodules. The diagnosis was made by colon biopsies, which showed chronic inflammation with many histiocytes containing Michaelis-Gutmann bodies. Although rare, malakoplakia is one of many potential causes of diarrhea in a transplant patient. The present case indicates that malakoplakia may be associated with chronic diarrhea, even if there are no macroscopic lesions seen during colonoscopy.http://dx.doi.org/10.1155/2007/256031
spellingShingle Peter TW Kim
Jennifer E Davis
Siegfried R Erb
Eric M Yoshida
Urs P Steinbrecher
Colonic Malakoplakia in a Liver Transplant Recipient
Canadian Journal of Gastroenterology
title Colonic Malakoplakia in a Liver Transplant Recipient
title_full Colonic Malakoplakia in a Liver Transplant Recipient
title_fullStr Colonic Malakoplakia in a Liver Transplant Recipient
title_full_unstemmed Colonic Malakoplakia in a Liver Transplant Recipient
title_short Colonic Malakoplakia in a Liver Transplant Recipient
title_sort colonic malakoplakia in a liver transplant recipient
url http://dx.doi.org/10.1155/2007/256031
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AT jenniferedavis colonicmalakoplakiainalivertransplantrecipient
AT siegfriedrerb colonicmalakoplakiainalivertransplantrecipient
AT ericmyoshida colonicmalakoplakiainalivertransplantrecipient
AT urspsteinbrecher colonicmalakoplakiainalivertransplantrecipient