First-in-Human Adjunctive Bacteriophage Therapy for Malakoplakia.

Aslam, Saima; Brubaker, Aleah; Shah, Mita; Martin, Thomas C S; Mandt, Tyler; Windham-Herman, Austin-Marley; Zhang, Haiyan; Bryde, Tina et al. · Clin Infect Dis · 2026

case_report · Level V

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Abstract

We report the first use of adjunctive bacteriophage therapy for Escherichia coli related malakoplakia in a kidney transplant recipient with progressive disease. Adjunctive CRISPR-enhanced phage cocktail SNIPR001 combined with prolonged antibiotics, ascorbic acid, and bethanechol was associated with cutaneous lesion resolution and sustained radiographic regression without phage-related adverse events.