title: Chronic diarrhea due to duodenal candidiasis in a patient with a history of kidney transplantation.
abstract: Candida infection in the small intestine is uncommon. We report an unusual case of duodenal candidiasis that presented as chronic diarrhea in a patient who had previously undergone kidney transplantation. A 60-year-old man presented with profuse watery diarrhea that had lasted 6 months 13 years after kidney transplantation. Upper gastrointestinal endoscopy results indicated candidiasis within the esophagus and duodenum. Biopsy results revealed active duodenitis with hyphal and yeast forms of Candida overlying the duodenal epithelium in periodic acid Schiff staining. The patient was successfully treated with fluconazole. After 6 months of follow-up, the patient had no complaint of diarrhea. Duodenal candidiasis may be the result of chronic diarrhea in patients with a history of kidney transplantation.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. dr_nori_majelan@yahoo.com.
authors.forename: Nader
authors.initials: N
authors.lastname: Nouri-Majalan
authors.forename: Sarasadat
authors.initials: S
authors.lastname: Moghaddasi
authors.forename: Mohammad Davud
authors.initials: MD
authors.lastname: Qane
authors.forename: Farzane
authors.initials: F
authors.lastname: Shefaie
authors.forename: Roghayyeh
authors.initials: R
authors.lastname: Masoumi Dehshiri
authors.forename: Mohammad Kassem
authors.initials: MK
authors.lastname: Amirbaigy
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Baghbanian
mesh_terms: D002177:Candidiasis / Q000150:complications*; D002908:Chronic Disease; D003967:Diarrhea / Q000209:etiology*; D004378:Duodenal Diseases / Q000150:complications*; D004935:Esophageal Diseases / Q000150:complications; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications