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Cloxacillin: A New Cause of Pill-Induced Esophagitis
Joint Authors
Zezos, Petros
Harel, Ziv
Saibil, Fred
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-14
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
A large variety of medications can cause pill-induced esophagitis.
Herein we present a case of cloxacillin-induced esophagitis.
A 66-year-old male presented with an acute onset of epigastric and retrosternal pain on the 5th day of a course of oral cloxacillin prescribed for erysipelas.
Initial clinical and imaging assessment was negative and he was sent home.
A few days later, he returned with persistent severe retrosternal pain; endoscopy at the same day revealed a normal upper esophagus, several small stellate erosions in the midesophagus, and a normal squamocolumnar junction with a small hiatus hernia.
Treatment with esomeprazole 40 mg bid and M u c a i n e R suspension resulted in complete resolution of his symptoms.
Pill-induced esophagitis may be underreported by patients, when symptoms are mild and unrecognized and/or underdiagnosed by the clinicians as a cause of retrosternal pain, odynophagia, or dysphagia.
Failure of early recognition may result in unnecessary diagnostic investigations and prolongation of the patient’s discomfort.
This case signifies the importance of enhancing clinician awareness for drug-associated esophageal injury when assessing patients with retrosternal pain, as well as the value of prophylaxis against this unpleasant condition by universally recommending drinking enough water in an upright position during ingestion of any oral medication.
American Psychological Association (APA)
Zezos, Petros& Harel, Ziv& Saibil, Fred. 2016. Cloxacillin: A New Cause of Pill-Induced Esophagitis. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-2.
https://search.emarefa.net/detail/BIM-1099862
Modern Language Association (MLA)
Zezos, Petros…[et al.]. Cloxacillin: A New Cause of Pill-Induced Esophagitis. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-2.
https://search.emarefa.net/detail/BIM-1099862
American Medical Association (AMA)
Zezos, Petros& Harel, Ziv& Saibil, Fred. Cloxacillin: A New Cause of Pill-Induced Esophagitis. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-2.
https://search.emarefa.net/detail/BIM-1099862
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099862