Open AccessChronic mesenteric ischaemia masked by candida esophagitis in a renal transplant patient
Author(s) -
Seth Scheetz,
Deepali Pandey,
Todd E. Pesavento,
Priyamvada Singh
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-232938
Subject(s) - medicine , renal transplant , esophagitis , gastroenterology , mesenteric ischemia , intensive care medicine , ischemia , transplantation , disease , reflux
Chronic mesenteric ischaemia is a severe disease that is often missed due to its non-specific presentation. Immunosuppressed patients are at risk for infectious gastrointestinal disease, which may further obscure the diagnosis of chronic mesenteric ischaemia. In this case, a patient's symptoms and diagnostic workup were consistent with candida esophagitis. Worsening leukocytosis despite treatment, however, prompted re-evaluation ultimately revealing a superior mesenteric artery thrombus causing mesenteric ischaemia. The patient required urgent surgical intervention for the management of his disease.