Chronic mesenteric ischaemia masked by candida esophagitis in a renal transplant patient. Issue 12 (30th December 2019)

• Record Type: Journal Article
• Authors: Scheetz, Seth; Pandey, Deepali; Pesavento, Todd E; Singh, Priyamvada
• Is Part Of: BMJ case reports. Volume 12:Issue 12(2019)
• Publication Date: 2019-12-30
• Subjects: gastrointestinal system -- renal system -- renal transplantation -- vascular surgery -- general practice / family medicine; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-232938
• Languages: English
• ISSNs: 1757-790X

Abstract

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.