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Case report
Thoracic and abdominal pain in a 28-year-old woman with a failing kidney transplant
  1. Kirill Pavlov1,
  2. Parweez Koehestanie2,
  3. Jaap J Beutler2,
  4. Tessa E H Römkens1,
  5. Ellen K Hoogeveen2,
  6. Loes H C Nissen1
  1. 1 Gastroenterology and Hepatology, Jeroen Bosch Ziekenhuis, Den Bosch, Noord-Brabant, The Netherlands
  2. 2 Internal Medicine, Jeroen Bosch Ziekenhuis, Den Bosch, Noord-Brabant, The Netherlands
  1. Correspondence to Dr Kirill Pavlov, Gastroenterology and Hepatology, Jeroen Bosch Ziekenhuis, Den BoschNoord-Brabant, The Netherlands; k.pavlov{at}jbz.nl

Abstract

This case report describes a young, immunocompromised patient who presented with thoracic pain. After an extensive workup, she was diagnosed with a varicella zoster virus infection with involvement of the gastric mucosa, pancreas and lungs for which she was treated with acyclovir. Although the viral load decreased significantly, the patient had persistent postherpetic neuralgia and nausea.

  • acute pancreatitis
  • gastritis
  • immunodeficiency

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Footnotes

  • Contributors KP conceived and wrote the manuscript. PK co-wrote the manuscript. TEHR and LHCN edited the manuscript and provided expertise regarding the underlying pathology of the pancreatitis and gastritis described in the paper. EKH and JJB edited the manuscript and provided expertise regarding the follow-up of the patient and the role of immunosuppressant therapy in this case.

  • 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 Obtained.

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

  • Data sharing statement There is no unpublished additional data.

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