Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-61010
Frei, P; Weber, A; Geier, A; Mertens, J C; Kohler, S; Rogler, G; Mullhaupt, B (2011). Lessons from a transplant patient with diarrhea, cryptosporidial infection, and possible mycophenolate mofetil-associated colitis. Transplant Infectious Disease, 13(4):416-418.
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Diarrhea in a transplant recipient may be caused by infection, metabolic problems, or adverse drug effects. The immunosuppressive drug most frequently associated with diarrhea in transplant recipients is mycophenolate mofetil (MMF). We present the case of a patient with 2 potential explanations for diarrhea lasting several weeks, which occurred years after liver transplantation. Whereas stool samples were positive for cryptosporidia, the histopathological findings were compatible with MMF colitis. However, diarrhea resolved after treatment of cryptosporidial infection, despite continued MMF medication. This case shows that histopathological findings of MMF colitis may be misleading and do not prove that diarrhea is drug induced.
© 2011 John Wiley & Sons A/S.
|Item Type:||Journal Article, refereed, further contribution|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Institute of Surgical Pathology|
04 Faculty of Medicine > University Hospital Zurich > Clinic for Gastroenterology and Hepatology
|DDC:||610 Medicine & health|
|Deposited On:||03 Mar 2012 13:42|
|Last Modified:||21 Dec 2012 15:39|
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