Korean Journal of Gastrointestinal Endoscopy 2010;41(5): 280-284.
신장이식 환자에서 동시에 발현한 헤르페스 식도염과 칸디다 식도염 1예
오현정ㆍ김성은ㆍ최주영ㆍ노선희ㆍ정혜경ㆍ김태헌ㆍ심기남ㆍ정성애
이화여자대학교 의학전문대학원 내과학교실, 의과학연구소
Simultaneous Herpes Simplex and Candida Esophagitis in Renal Transplant Patients
Hyun Jung Oh, M.D., Seong-Eun Kim, M.D., Ju Young Choi, M.D., Sun Hee Roh, M.D., Hye-Kyung Jung, M.D., Tae-Hun Kim, M.D., Ki-Nam Shim, M.D. and Sung-Ae Jung, M.D.
Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea
Abstract
Infectious esophagitis usually occurs in immunocompromised patients with AIDS, malignancy and those receiving immunosuppresive therapy. Common pathogens causing esophagitis include Candida, Herpes simplex virus and Cytomegalovirus. However simultaneous esophageal infection with both Candida and Herpes simplex virus has rarely been reported. The endoscopic findings of Herpes simplex esophagitis combined with Candida infection does not show typical findings due to diffuse whitish or yellowish plaques; hence, accurate diagnosis can be delayed. We observed concomitant infection of Herpes simplex virus and Candida causing esophagitis in a 45-year-old renal transplant patient who had been receiving immunosuppressive therapy. The patient showed marked reductions in clinical symptoms and in endoscopic findings after anti-fungal and acyclovir therapy. (Korean J Gastrointest Endosc 2010;41:280-284)
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