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 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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Fluoroscopy-Guided Biliary Procedures in a Pregnant, Liver Transplant Patient: Fetus Radiation Protection

Radiation Protection Dosimetry ◽

10.1093/rpd/ncaa204 ◽

2020 ◽

Author(s):

R Gerasia ◽

C Cannataci ◽

G S Gallo ◽

C Tafaro ◽

C Caruso ◽

...

Keyword(s):

Transplant Recipient ◽

Liver Transplant ◽

Radiation Exposure ◽

Transplant Patient ◽

Liver Transplant Recipient ◽

Background Radiation ◽

Liver Transplant Patient ◽

A Value ◽

Naturally Occurring ◽

Reduction Strategies

Abstract We report three cases of clinically necessary, fluoroscopy-guided, percutaneous biliary procedures performed safely in a pregnant, liver transplant recipient using three different angiography suites. The uterine cumulative equivalent dose was 0.25 mSv, a value obtained by adding the doses of the three procedures described above, and which is relatively low when compared with the naturally occurring background radiation exposure for a 9-month pregnancy (~0.5–1 mSv). Our experience shows that staff knowledge, awareness and liaison promote the application of all dose reduction strategies possible while still achieving the clinical aim despite using different angiographic equipment.

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Unusual oral presentation of HSV-1 lesions in an adult liver transplant recipient

BMJ Case Reports ◽

10.1136/bcr-2018-227492 ◽

2019 ◽

Vol 12 (3) ◽

pp. e227492 ◽

Cited By ~ 1

Author(s):

Daniel Yiu ◽

Michele Ballabio ◽

Gianluca Fornoni ◽

Umberto Maggi

Keyword(s):

Case Report ◽

Transplant Recipient ◽

Liver Transplant ◽

Liver Transplant Recipient ◽

Clinical Signs ◽

Adult Liver ◽

Infective Complication ◽

Prompt Treatment ◽

Transplant Patients ◽

Simplex Virus

Herpes Simplex Virus (HSV) hepatitis in liver transplant patients is a rarely reported infective complication of HSV with severe consequences, often leading to fulminant hepatitis if left untreated. The clinical signs are often atypical, leading to under-reporting in the literature and potential delays in treatment. Our case report describes such atypical mucocutaneous lesions in a liver transplant recipient. We highlight the need for further reports, especially those with images, in order to aid the diagnosis of HSV infection, and to allow prompt treatment to prevent complications such as HSV hepatitis.

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