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Unusual association of diseases/symptoms
Case report
Chronic mesenteric ischaemia masked by candida esophagitis in a renal transplant patient
  1. Seth Scheetz1,
  2. Deepali Pandey2,
  3. Todd E Pesavento1 and
  4. Priyamvada Singh1
  1. 1Comprehensive Transplant Center, Ohio State University, Columbus, Ohio, USA
  2. 2Montefiore Medical Center/Albert Einstein College of Medicine at MJHS, New York, New York, USA
  1. Correspondence to Dr Deepali Pandey; drdeepalipandey05{at}gmail.com

Abstract

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.

  • gastrointestinal system
  • renal system
  • renal transplantation
  • vascular surgery
  • general practice / family medicine

http://dx.doi.org/10.1136/bcr-2019-232938

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    Footnotes

    • Contributors SS: writing, critically reviewing, editing the article and image retrieval. DP: editing and critically reviewing article. TEP: design and critically reviewing article. PS: conception, design and critically reviewing article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.