Colonic malakoplakia in a liver transplant recipient.

Abstract

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.

• Authors: P T Kim, J E Davis, S R Erb, E M Yoshida, U P Steinbrecher
• Journal: Canadian journal of gastroenterology = Journal canadien de gastroenterologie (Can J Gastroenterol) Vol. 21 Issue 11 Pg. 753-5 (Nov 2007) ISSN: 0835-7900 [Print] Canada
• PMID: 18026580 (Publication Type: Case Reports, Journal Article)

Chemical References

• Immunosuppressive Agents
• Tacrolimus

Topics

• Diarrhea (etiology)
• Female
• Humans
• Immunosuppressive Agents (adverse effects)
• Liver Transplantation (adverse effects)
• Malacoplakia (diagnosis, etiology)
• Middle Aged
• Tacrolimus (adverse effects)