Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis
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 i...
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| Format: | Article |
| Language: | English |
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Korean College of Helicobacter and Upper Gastrointestinal Research
2019-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-61.pdf |
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| author | Seok Hyung Kang Myong Ki Baeg Sun-Hye Ko Hyunjung Hwang Sang Yeop Yi Sung Jin Moon Jeongkeun Park |
| author_facet | Seok Hyung Kang Myong Ki Baeg Sun-Hye Ko Hyunjung Hwang Sang Yeop Yi Sung Jin Moon Jeongkeun Park |
| author_sort | Seok Hyung Kang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7046ffb3e9a5476fadbb08d23f7e9ff9 |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-7046ffb3e9a5476fadbb08d23f7e9ff92025-08-20T03:56:13ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312019-03-01191616410.7704/kjhugr.2019.19.1.61547Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus EsophagitisSeok Hyung Kang0Myong Ki Baeg1Sun-Hye Ko2Hyunjung Hwang3Sang Yeop Yi4Sung Jin Moon5Jeongkeun Park6Division of Gastroenterology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaDivision of Gastroenterology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaDepartment of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, KoreaDivision of Gastroenterology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaDepartment of Pathology, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaDivision of Nephrology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaDepartment of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaChest 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.http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-61.pdfChest painCytomegalovirusEsophagitisHerpes simplex virusKidney transplantation |
| spellingShingle | Seok Hyung Kang Myong Ki Baeg Sun-Hye Ko Hyunjung Hwang Sang Yeop Yi Sung Jin Moon Jeongkeun Park 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 Chest pain Cytomegalovirus Esophagitis Herpes simplex virus Kidney transplantation |
| title | Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis |
| title_full | Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis |
| title_fullStr | Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis |
| title_full_unstemmed | Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis |
| title_short | Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis |
| title_sort | chest pain in a renal transplant recipient due to concomitant cytomegalovirus and herpes simplex virus esophagitis |
| topic | Chest pain Cytomegalovirus Esophagitis Herpes simplex virus Kidney transplantation |
| url | http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-61.pdf |
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