Malakoplakia after kidney transplantation: Case report and literature review [documento electrónico] / John Fredy Nieto Ríos, ; Isabel Cristina Ramírez Sánchez, ; Lina Maria Serna Higuita, ; Alejandro Vélez Hoyos, ; Federico Gaviria Gil,  . - 2017.
Obra : Transplant Infectious Disease

Idioma : Inglés (eng)

Palabras clave :	Escherichia coli  immunosuppression  kidney transplantation  malakoplakia  urinary tract infection
Resumen :	Malakoplakia is a granulomatous disease associated with an infectious etiology, usually involving the urinary tract. It reveals itself as a recurrent urinary tract infection (r‐UTI), and in some cases, it is associated with impairment of renal function. Immunosuppression is one of its main associated factors, and it has been increasingly described in patients with solid organ transplantation (SOT), mainly kidney transplantation. Macroscopically, it can form masses and sometimes it may be confused with neoplasia, which is why histological findings are fundamental for the diagnosis. Here, we present a case of bladder malakoplakia, manifested by r‐UTI from Escherichia coli in a patient with renal transplantation, refractory to long‐term antibiotic treatment and reduction in immunosuppression, which resolved after surgical management. We also summarize the clinical characteristics of malakoplakia and compare them with previous reports in the literature on SOT.
Mención de responsabilidad :	John Fredy Nieto-Ríos, Isabel Ramírez, Mónica Zuluaga-Quintero, Lina María Serna-Higuita, Federico Gaviria-Gil, Alejandro Velez-Hoyos
Referencia :	Transpl Infect Dis. 2017 Oct;19(5).
DOI (Digital Object Identifier) :	10.1111/tid.12731
PMID :	28561517
En línea :	https://onlinelibrary.wiley.com/doi/abs/10.1111/tid.12731
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4065