Malakoplakia: evidence for an acquired disease secondary to immunosuppression.

Abstract:

:A 44-year-old man was maintained on prednisone and azathioprine after renal transplantation. One and a half years after transplantation, he developed multiple perianal Escherichia coli abscesses. These became chronic and resisted antibiotic therapy. Histologically, the lesions were typical of malakoplakia. Peripheral blood neutrophils and monocytes had impaired killing of Staphylococcus aureus and E. coli in vitro. No abnormality of hexose monophosphate pathway activity, tetrazolium dye reduction, lysosomal degranulation, or cyclic nucleotides could be demonstrated in either neutrophils or monocytes. Cholinergic agonists in vitro and in vivo did not improve bacterial killing by these cells. The infection resolved rapidly and bacterial killing returned to normal when the dose of azathioprine was reduced. Our findings, when considered with previous reports, suggest that there are different causes of malakoplakia and malakoplakia may be more common than previously thought. The etiology of malakoplakia should be identified for each patient if appropriate treatment is to be given.

journal_name

Transplantation

journal_title

Transplantation

authors

Biggar WD,Keating A,Bear RA

subject

Has Abstract

pub_date

1981-02-01 00:00:00

pages

109-12

issue

2

eissn

0041-1337

issn

1534-6080

journal_volume

31

pub_type

杂志文章
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    authors: Versluis DJ,Beyer WE,Masurel N,Wenting GJ,Weimar W

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    更新日期:1996-04-27 00:00:00

  • Race, Relationship and Renal Diagnoses After Living Kidney Donation.

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    authors: Schreiber KL,Forman J

    更新日期:1993-09-01 00:00:00

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    pub_type: 杂志文章

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  • The use of a prostacyclin analog, iloprost, as an adjunct to pulmonary preservation with Euro-Collins solution.

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    更新日期:1990-03-01 00:00:00

  • Cardiotrophin-1 Improves Kidney Preservation, Graft Function, and Survival in Transplanted Rats.

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  • Comparison of human islet isolation outcomes using a new mammalian tissue-free enzyme versus collagenase NB-1.

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    journal_title:Transplantation

    pub_type: 杂志文章

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    authors: O'Gorman D,Kin T,Imes S,Pawlick R,Senior P,Shapiro AM

    更新日期:2010-08-15 00:00:00

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    pub_type: 杂志文章

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    authors: Ohsawa I,Uemoto S,Kobayashi E,Murakami T

    更新日期:2007-08-15 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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  • Evaluation of Low- Versus High-dose Valganciclovir for Prevention of Cytomegalovirus Disease in High-risk Renal Transplant Recipients.

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    pub_type: 杂志文章,多中心研究

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    pub_type: 杂志文章

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    更新日期:1995-07-15 00:00:00

  • Possible role of extracellularly released phagocyte proteinases in coagulation disorder during liver transplantation.

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    pub_type: 杂志文章

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    更新日期:1991-09-01 00:00:00

  • Long-term metabolic control of autoimmune diabetes in spontaneously diabetic nonobese diabetic mice by nonvascularized microencapsulated adult porcine islets.

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    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181abbfc1

    authors: Cui H,Tucker-Burden C,Cauffiel SM,Barry AK,Iwakoshi NN,Weber CJ,Safley SA

    更新日期:2009-07-27 00:00:00

  • Increase in neonatal suppressor cell activity resulting from the graft-versus-host reaction.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198409000-00010

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    更新日期:1984-09-01 00:00:00

  • Rapid rejection of HLA-A2 transgenic skin graft due to indirect allorecognition.

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    pub_type: 杂志文章

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    更新日期:2001-09-27 00:00:00

  • Utility in Treating Kidney Failure in End-Stage Liver Disease With Simultaneous Liver-Kidney Transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001491

    authors: Cheng XS,Stedman MR,Chertow GM,Kim WR,Tan JC

    更新日期:2017-05-01 00:00:00

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    pub_type: 杂志文章

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    authors: Kakinoki K,Fujino Y,Suzuki Y,Li S,Tanioka Y,Sakai T,Kuroda Y

    更新日期:2005-06-15 00:00:00

  • Hepatic lidocaine metabolism and complications of cirrhosis. Implications for assessing patient priority for hepatic transplantation.

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    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199304000-00028

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    更新日期:1993-04-01 00:00:00

  • Evidence that liposome incorporation of cyclosporine reduces its toxicity and potentiates its ability to prolong survival of cardiac allografts in mice.

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    更新日期:1991-11-01 00:00:00

  • Therapeutic Hypothermia in Organ Donors: Follow-up and Safety Analysis.

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    pub_type: 杂志文章,随机对照试验

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    pub_type: 杂志文章

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    更新日期:2005-08-15 00:00:00

  • Long-term improvement in renal function after cyclosporine reduction in renal transplant recipients with histologically proven chronic cyclosporine nephropathy.

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    pub_type: 杂志文章

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    更新日期:1998-03-15 00:00:00

  • The extent and predictors of waiting time geographic disparity in kidney transplantation in the United States.

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