|
KMID : 0931320190190010061
|
|
대한상부위장관.헬리코박터학회지
2019 Volume.19 No. 1 p.61 ~ p.64
|
|
|
Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis
|
|
Kang Seok-Hyung
Baeg Myong-Ki
Ko Sun-Hye
Hwang Hyun-Jung
Yi Sang-Yeop
Moon Sung-Jin
Park Jeong-Keun
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Chest pain, Cytomegalovirus, Esophagitis, Herpes simplex virus, Kidney transplantation
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|