Recurrent Aphthous Stomatitis Caused by Cytomegalovirus, Herpes Simplex Virus, and Candida Species in a Kidney Transplant Recipient: A Case Report

Abstract Recipients of organ transplantsare immunosuppressed and at high risk of oral infection. Oraldiseases are often neglected compared with infections of other organs that typically confer higher morbidity. However, severe local symptoms hinder oralintake, decrease quality of life, and are sometimes lethal. Here we describe a case of a 57-year-old woman who developed recurrent aphthous stomatitis after kidney transplantation; the cause of the infection was complex and included cytomegalovirus, herpes simplex virus, and Candida species. Since misdiagnosis of oraldiseases impairs patient quality of life and increases morbidity, clinicians should be aware of possible etiologies of oral infectionsin renal transplant recipients.