Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis
Article
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| WPRIM
| ID: wpr-738992
Responsable en Bibliothèque :
WPRO
ABSTRACT
Chest pain in kidney transplant patients is usually caused by cardiac or pulmonary problems. However, it may be rarely caused by opportunistic esophageal infections. A 66-year-old female kidney transplant recipient was admitted because of chest pain. She had been treated with high-dose steroid and immunosuppressants for acute T-cell-mediated rejection. Cardiologic and pulmonary evaluations had normal results. Endoscopic examination revealed three clear ulcerative lesions in the esophagus. Histological and immunohistochemical staining of the endoscopic biopsy specimens revealed coinfection of herpes simplex virus and cytomegalovirus. The patient was treated with intravenous ganciclovir for 2 weeks. Her symptoms completely resolved, and follow-up endoscopy revealed complete healing of the previous ulcers. Viral esophagitis should be considered in the differential diagnosis in kidney transplant recipients presenting with chest pain.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Thorax
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Ulcère
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Biopsie
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Douleur thoracique
/
Ganciclovir
/
Études de suivi
/
Transplantation rénale
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Simplexvirus
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Cytomegalovirus
/
Diagnostic différentiel
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limites du sujet:
Aged
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Female
/
Humans
langue:
En
Texte intégral:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Année:
2019
Type:
Article