Year 2022 / Volume 114 / Number 7
Letter
Double acute esophageal candidiasis and cytomegalovirus (CMV) infection in a young healthy patient: a call to think about HIV infection in AIDS

433-434

DOI: 10.17235/reed.2022.8701/2022

Asuncion Ojeda Gómez, Neftali Moya Hoyo, Almudena María Íñigo Chaves, Javier Sola Vera Sánchez, Francisco Uceda Porta,

Abstract
We present an otherwise healthy 27 year-old-man who was admitted to our hospital referring acute abdominal pain, diarrhea, rectorrhagia, heavy vomiting, heartburn, dysphagia, high fever and involuntary weight loss of 12 kg in one week. An acute kidney injury, anemia and lymphopenia of 85 CD4 were observed in his blood work. The patient underwent a colonoscopy that was unremarkable. However, the oesophagogastroduodenoscopy (OGD) showed an oesophageal candidiasis in the upper oesophagus along with multiple confluent circumferential ulcerations in its lower 10 cm. Multiple biopsies were taken from the center and the edge of the ulcerations, revealing the presence of inclusion cell bodies.
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References
1. Arenas J, Montalvo I, Gil I. Esofagitis infecciosas. 1999. Gastr Hepatol. Vol. 22. Núm. 6. 302-308
2. Li L, Chakinala RC. Cytomegalovirus Esophagitis. 2021 May 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 32310570.
Robertson KD, Nagra N, Mehta D. Esophageal Candidiasis. 2021 Aug 9. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 30725953.
Bannoura S, Barada K, Sinno S et al. Esophageal Cytomegalovirus and Herpes Simplex virus co-infection in an immunocompromised patient: Case report and review of literature. IDCases. 2020 Jul 25;22:e00925. doi: 10.1016/j.idcr.2020.e00925. PMID: 33005566; PMCID: PMC7519373.
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Citation tools
Ojeda Gómez A, Moya Hoyo N, Íñigo Chaves A, Sola Vera Sánchez J, Uceda Porta F. Double acute esophageal candidiasis and cytomegalovirus (CMV) infection in a young healthy patient: a call to think about HIV infection in AIDS . 8701/2022


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Publication history

Received: 08/02/2022

Accepted: 11/02/2022

Online First: 16/02/2022

Published: 07/07/2022

Article Online First time: 8 days

Article editing time: 149 days


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