{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T13:32:16Z","timestamp":1762522336275,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,22]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>Renal transplant recipients are prone to opportunistic infections due to iatrogenic immunosuppression. Infectious esophagitis can present as an opportunistic infection in the post-transplant period. Common pathogens are candida, herpes simplex virus (HSV) and cytomegalovirus (CMV). Having a dual infection is uncommon and the diagnoses can be missed at initial presentation. Our patient, a 29-year-old African-American woman, status post deceased-donor-kidney transplant presented with difficulty and pain in swallowing with clinical features suggestive of candida esophagitis, confirmed by fungal culture. She did not get better with antifungal treatment. On further testing, the patient was found to have HSV-2 infection of the oesophagus as well. She received both fluconazole as well as acyclovir that lead to complete resolution of her symptoms. In the right clinical setting, esophagitis can be caused by more than one organism present at the same time and a high level of suspicion is warranted.<\/jats:p>","DOI":"10.1136\/bcr-2019-230410","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T03:45:27Z","timestamp":1565927127000},"page":"e230410","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Simultaneous candida albicans and herpes simplex virus type 2 esophagitis in a renal transplant recipient"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4813-5022","authenticated-orcid":false,"given":"Imran","family":"Gani","sequence":"first","affiliation":[{"name":"Nephrology, Hypertension and Transplant Medicine, Augusta University Health, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vatsalya","family":"Kosuru","sequence":"additional","affiliation":[{"name":"Internal Medicine, Augusta University Health System, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Saleem","sequence":"additional","affiliation":[{"name":"Internal Medicine, Augusta University Health System, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajan","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Nephrology, Hypertension and Transplant Medicine, Augusta University Health, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,15]]},"reference":[{"key":"2025082703462031000_12.8.e230410.1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e3181e949ed"},{"key":"2025082703462031000_12.8.e230410.2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1177\/154510970200100204","article-title":"Diagnosis and management of infectious esophagitis associated with human immunodeficiency virus infection","volume":"1","author":"Zaidi","year":"2002","journal-title":"J Int Assoc Physicians AIDS Care"},{"key":"2025082703462031000_12.8.e230410.3","first-page":"39","article-title":"Case of esophagitis in a posttransplant female patient","volume":"12","author":"Kurnatowska","year":"2007","journal-title":"Ann Transplant"},{"key":"2025082703462031000_12.8.e230410.4","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1681\/ASN.V131277","article-title":"Gastrointestinal complications of transplant immunosuppression","volume":"13","author":"Helderman","year":"2002","journal-title":"J Am Soc Nephrol"},{"key":"2025082703462031000_12.8.e230410.5","doi-asserted-by":"crossref","unstructured":"Roso\u0142owski M , Kierzkiewicz M . 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