ABSTRACT
Concomitant herpetic and candidal esophagitis is a very rare disease that had not
been reported in uremic patients. A 57-year-old woman receiving continuous ambulatory
peritoneal dialysis (CAPD) therapy for 3 years was admitted due to CAPD-related peritonitis.
Endoscopic examination was performed due to severe epigastralgia and upper gastrointestinal
bleeding, and combined herpetic and candidal esophagitis was diagnosed. Intravenous
acyclovir and fluconazole were prescribed and symptoms improved. The patient subsequently
died due to progressive sepsis and respiratory failure. This is the first report of
a dual infectious esophagitis in a uremic patient. Since infectious esophagitis may
cause severe complications, early diagnosis and aggressive treatment are important.
KEY INDEXING TERMS
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of the Medical SciencesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Herpetic esophagitis: a diagnostic challenge in immunocompromised patients.Am J Gastroenterol. 1986; 81: 246-253
- Esophageal infections in immunosuppressed patients after marrow transplantation.Gastroenterology. 1985; 88: 1111-1117
- Esophageal ulceration in human immunodeficiency virus infection: causes, response to therapy, and long-term outcome.Ann Intern Med. 1995; 123: 143-149
- Impairment of innate cellular response to in vitro stimuli in patients on continuous ambulatory peritoneal dialysis.Nephrol Dial Transplant. 2005; 20: 2497-2503
- Type I herpes simplex esophagitis with concomitant esophageal moniliasis.J Clin Gastroenterol. 1982; 4: 351-355
- The causes of esophageal symptoms in human immunodeficiency virus infection: a prospective study of 110 patients.Arch Intern Med. 1991; 151: 1567-1572
- Histopathology of human immunodeficiency virus-associated esophageal disease.Am J Gastroenterol. 1993; 88: 549-551
- Esophageal motility in AIDS patients with symptomatic opportunistic infections of the esophagus.Am J Gastroenterol. 1994; 89: 2003-2005
- Concomitant herpes-monilial esophagitis: case report with ultrastructural study.Hum Pathol. 1982; 13: 760-763
- Simultaneous herpetic and candidal esophagitis in an immunocompetent teenager.J Pediatr Gastroenterol Nutr. 2005; 40: 371-373
- Treatment of herpes simplex esophagitis in an immunocompetent patient with intravenous acyclovir: a case report and review of the literature.Am J Gastroenterol. 1998; 93: 2239-2240
- Esophageal infections: risk factors, presentation, diagnosis, and treatment.Gastroenterology. 1994; 106: 509-532
- Guidelines for the treatment of candidiasis.Clin Infect Dis. 2004; 38: 161-189
- Tuberculosis and chronic renal disease.Semin Dial. 2003; 16: 38-44
Article info
Publication history
Accepted:
September 6,
2006
Received:
August 9,
2006
Identification
Copyright
© 2007 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
