A case of combined herpes simplex virus, cytomegalovirus, and candidal esophagitis in an AIDS patient |
Hyun Ah Kim, Kwi-Hyun Bae, Seong-Yeol Ryu |
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후천성면역결핍증 환자의 칸디다 헤르페스, 거대세포바이러스 식도염 1예 |
김현아, 배귀현, 류성열 |
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Abstract |
Since the first case of human immunodeficiency virus (HIV) infection was reported in Korea in 1985, the number of HIV patients
has risen steadily and reached 5,323 in December 2007. Consequently, multiple opportunistic infections have become a significant
clinical problem. Diseases of the gastrointestinal tract are among the most frequent complications of acquired immunodeficiency
syndrome (AIDS) and cause morbidity in patients with HIV infection. Opportunistic infections are the leading cause of esophageal
complaints. Candida albicans is the most frequently identified cause of esophageal symptoms, followed by herpes simplex virus
(HSV) and cytomegalovirus (CMV) infections. Esophageal candidiasis often occurs concurrently with other infectious esophageal
disorders. Simultaneous esophageal infection with HSV, CMV, and Candida spp. is rare. We report a case of combined HSV,
CMV, and candidal esophagitis in an AIDS patient. He was treated with highly active antiretroviral therapy (HAART) and the appropriate
antiviral and antifungal agents. (Korean J Med 77:255-260, 2009) |
Key Words:
Herpes simplex virus esophagitis; Candidal esophagitis; Cytomegalovirus esophagitis |
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