Open AccessDOUBLE ACUTE OESOPHAGEAL CANDIDIASIS AND CITOMEGALOVIRUS (CMV) INFECTION IN A YOUNG HEALTHY PATIENT: A RED CALL TO THINK ABOUT HVI INFECTION IN AIDS STAGE.
Author(s) -
Adrián BlancoGómez,
Neftali Moya Hoyo,
Almudena María Íñigo Chaves,
Javier Sola Vera Sánchez,
Francisco Uceda Porta
Publication year - 2022
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2022.8701/2022
Subject(s) - medicine , dysphagia , colonoscopy , vomiting , gastroenterology , abdominal pain , diarrhea , heartburn , surgery , reflux , colorectal cancer , disease , cancer
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.