Upper Gastrointestinal Hemorrhage from Esophageal Ulcer Caused by Coinfection of Herpes Simplex Virus and Cytomegalovirus in Immunocompromised Patient.
10.7704/kjhugr.2013.13.1.69
- Author:
Hoe Hoon CHUNG
1
;
Jae Young JANG
;
Ja Min BYUN
;
Sun Hee PARK
;
Dong Hyun KIM
;
Young Woon CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. jyjang@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Esophageal ulcer;
Simplexvirus;
Cytomegalovirus;
Gastrointestinal hemorrhage;
Immunocompromised host
- MeSH:
Coinfection;
Cytomegalovirus;
Endoscopy, Gastrointestinal;
Gastrointestinal Hemorrhage;
Glycosaminoglycans;
Hemostasis, Endoscopic;
Herpes Simplex;
Humans;
Immunocompromised Host;
Kidney;
Male;
Melena;
Methylmethacrylates;
Polystyrenes;
Simplexvirus;
Ulcer
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2013;13(1):69-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coinfection with herpes simplex virus and cytomegalovirus is a very rare cause of esophageal ulcer and upper gastrointestinal hemorrhage. A 26 year-old male kidney transplant recipient was referred with a complaint of melena. Upper gastrointestinal endoscopy showed a huge esophageal ulcer in the anastomosis site of the esophagogastrostomy. The ulcer occupied about two-thirds of the circumference of the esophageal lumen and an exposed vessel in the ulcer base was noted. Pathologic findings with immunohistochemical stain showed co-infection of herpes simplex virus and cytomegalovirus. He was treated successfully with endoscopic hemostasis and antiviral therapy. We report a case of upper gastrointestinal hemorrhage from esophageal ulcer caused by coinfection of herpes simplex virus and cytomegalovirus.
