A case of esophagitis caused by co-infection of cytomegalovirus and candida.
- Author:
Hee Young HWANG
1
;
Shin Woo KIM
;
Hyun Ha CHANG
;
Hye In KIM
;
Ga Young PARK
;
Eu Gene KWON
;
Jong Myung LEE
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. ksw2kms@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Candidiasis;
Cytomegalovirus;
Esophagitis
- MeSH:
Aged;
Anorexia;
Arthritis, Rheumatoid;
Candida;
Candidiasis;
Coinfection;
Cytomegalovirus;
Dental Caries;
Endoscopy;
Esophagitis;
Fluconazole;
Ganciclovir;
Humans;
Immunocompromised Host;
Immunosuppressive Agents;
Kidney Failure, Chronic;
Steroids
- From:Korean Journal of Medicine
2010;79(1):82-86
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 72-year-old man with end-stage renal disease who was taking oral steroids and immunosuppressive agents to control rheumatoid arthritis was admitted with complaints of anorexia and general weakness. Based on endoscopic findings and a histologic examination, the patient was diagnosed with infective esophagitis caused by Candida spp. and cytomegalovirus co-infection. Cytomegalovirus and Candida spp. are common causes of opportunistic infections; however, cytomegalovirus and Candida spp. co-infection is very rare. The patient was treated with ganciclovir and fluconazole. Endoscopic examination after 3 weeks showed improvement of the esophagitis. When endoscopy examination shows typical white spots that are indicative of Candida esophagitis, histologic and microbiologic studies should be encouraged for cytomegalovirus and Candida co-infection, especially in immunocompromised patients.
