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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Main Authors: Seok Hyung Kang (Author), Myong Ki Baeg (Author), Sun-Hye Ko (Author), Hyunjung Hwang (Author), Sang Yeop Yi (Author), Sung Jin Moon (Author), Jeongkeun Park (Author)
Format: Book
Published: Yong Chan Lee, 2019-03-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Seok Hyung Kang  |e author 
700 1 0 |a Myong Ki Baeg  |e author 
700 1 0 |a Sun-Hye Ko  |e author 
700 1 0 |a Hyunjung Hwang  |e author 
700 1 0 |a Sang Yeop Yi  |e author 
700 1 0 |a Sung Jin Moon  |e author 
700 1 0 |a Jeongkeun Park  |e author 
245 0 0 |a Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis 
260 |b Yong Chan Lee,   |c 2019-03-01T00:00:00Z. 
500 |a 1738-3331 
500 |a 10.7704/kjhugr.2019.19.1.61 
520 |a 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. 
546 |a EN 
546 |a KO 
690 |a Chest pain 
690 |a Cytomegalovirus 
690 |a Esophagitis 
690 |a Herpes simplex virus 
690 |a Kidney transplantation 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n The Korean Journal of Helicobacter and Upper Gastrointestinal Research, Vol 19, Iss 1, Pp 61-64 (2019) 
787 0 |n http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-61.pdf 
787 0 |n https://doaj.org/toc/1738-3331 
856 4 1 |u https://doaj.org/article/7046ffb3e9a5476fadbb08d23f7e9ff9  |z Connect to this object online.