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Severe Ulcerative Colitis Complicated by Malakoplakia Resulting in Proctocolectomy
Lotus Alphonsus1, Theshani A De Silva1, David Driman2
1Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Abstract:
We report a 45-year-old man with medically refractory ulcerative colitis with superimposed colonic malakoplakia, presumed related to chronic use of azathioprine and biologics. This is the first reported case of malakoplakia in a patient requiring high doses of combination therapy. Treatment of malakoplakia is not standardized, but can involve systemic antibiotics, or surgical resection, which in this case resulted in proctocolectomy.
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