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Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis
Article em En | WPRIM | ID: wpr-738992
Biblioteca responsável: 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.
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Texto completo: 1 Índice: WPRIM Assunto principal: Tórax / Úlcera / Biópsia / Dor no Peito / Ganciclovir / Seguimentos / Transplante de Rim / Simplexvirus / Citomegalovirus / Diagnóstico Diferencial Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Aged / Female / Humans Idioma: En Revista: The Korean Journal of Helicobacter and Upper Gastrointestinal Research Ano de publicação: 2019 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Tórax / Úlcera / Biópsia / Dor no Peito / Ganciclovir / Seguimentos / Transplante de Rim / Simplexvirus / Citomegalovirus / Diagnóstico Diferencial Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Aged / Female / Humans Idioma: En Revista: The Korean Journal of Helicobacter and Upper Gastrointestinal Research Ano de publicação: 2019 Tipo de documento: Article