Infective dyspepsia in a heart transplant recipient.
We report the coexistence of symptomatic viral, bacterial, and fungal infection of the upper gastrointestinal tract in a heart transplant recipient. Endoscopic findings were normal at all levels but, because of severe symptoms and recent conversion to positive serology for Cytomegalovirus, biopsies were taken. These showed esophageal candidiasis and gastric Helicobacter infection that has hitherto been unreported in cardiac transplant recipients.
Huwez
F U
FU
Scottish Cardiopulmonary Transplant Centre, University Department of Cardiac Surgery, Royal Infirmary, Glasgow, Scotland, UK.
McPhaden
A R
AR
Belcher
P R
PR
Naik
S K
SK
Wheatley
D J
DJ
D000900:Anti-Bacterial Agents; D000914:Antibodies, Viral / Q000032:analysis; D002175:Candida / Q000302:isolation & purification; D002177:Candidiasis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D003587:Cytomegalovirus / Q000276:immunology; D003586:Cytomegalovirus Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004415:Dyspepsia / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D005260:Female; D005753:Gastric Mucosa / Q000382:microbiology / Q000473:pathology; D005767:Gastrointestinal Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D005773:Gastroscopy; D016027:Heart Transplantation / Q000009:adverse effects*; D016481:Helicobacter Infections / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D016480:Helicobacter pylori / Q000302:isolation & purification; D006801:Humans; D016867:Immunocompromised Host; D008875:Middle Aged
D000900:Anti-Bacterial Agents; D000914:Antibodies, Viral