Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
;
: 61-64, 2019.
Article
in English
| WPRIM
| ID: wpr-738992
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thorax
/
Ulcer
/
Biopsy
/
Chest Pain
/
Ganciclovir
/
Follow-Up Studies
/
Kidney Transplantation
/
Simplexvirus
/
Cytomegalovirus
/
Diagnosis, Differential
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS