Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis
Korean J Helicobacter Up Gastrointest Res 2019;19(1):61-64
Published online March 10, 2019
© 2019 Korean College of Helicobacter and Upper Gastrointestinal Research.

Seok Hyung Kang1, Myong Ki Baeg1, Sun-Hye Ko2, Hyunjung Hwang1, Sang Yeop Yi3, Sung Jin Moon4, Jeongkeun Park5

Division of Gastroenterology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine1, Incheon, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine2, Busan, Department of Pathology, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine3, Division of Nephrology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine4, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine5, Incheon, Korea
Correspondence to: Myong Ki Baeg
Division of Gastroenterology, Department of Internal Medicine, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, 25 Simgok-ro 100beon-gil, Seo-gu, Incheon 22711, Korea
Tel: +82-32-290-2895, Fax: +82-32-290-3879, E-mail: baegmk@gmail.com
Received December 13, 2018; Revised January 13, 2019; Accepted January 14, 2019.
The Korean Journal of Helicobacter and Upper Gastrointestinal Research is an Open-Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Chest pain; Cytomegalovirus; Esophagitis; Herpes simplex virus; Kidney transplantation


March 2019, 19 (1)
Full Text(PDF) Free

Social Network Service
Services

Cited By Articles
  • CrossRef (0)