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Herpes Simplex Esophagitis in Immunocompetent Host : A Case Report
Joint Authors
Sciumè, C.
Pisello, F.
Cajozzo, M.
Modica, G.
Li Volsi, F.
Geraci, Girolamo
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-09-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Herpes simplex esophagitis is well recognized in immunosuppressed subjects, but it is infrequent in immunocompetent patients.
We present a case of HSE in a 53-year-old healthy man.
Materials and Methods.
The patient was admitted with dysphagia, odynophagia, and retrosternal chest pain.
An esophagogastroduodenoscopy revealed minute erosive area in distal esophagus and biopsies confirmed esophagitis and findings characteristic of Herpes Simplex Virus infection.
Results.
The patients was treated with high dose of protonpump inhibitor, sucralfate, and acyclovir, orally, with rapid resolution of symptoms.
Discussion.
HSV type I is the second most common cause of infectious esophagitis.
The majority of symptomatic immunocompetent patients with HSE will present with an acute onset of esophagitis.
Endoscopic biopsies from the ulcer edges should be obtained for both histopathology and viral culture.
In immunocompetent host, HSE is generally a self-limited condition.
Conclusions.
HSE should be suspected in case of esophagitis without evident cause, even if the patient is immunocompetent.
When the diagnosis of HSE is confirmed, careful history and assessment for an immune disorder such as HIV infection is crucial, to look for underlying immune deficiency.
American Psychological Association (APA)
Geraci, Girolamo& Pisello, F.& Modica, G.& Li Volsi, F.& Cajozzo, M.& Sciumè, C.. 2009. Herpes Simplex Esophagitis in Immunocompetent Host : A Case Report. Diagnostic and Therapeutic Endoscopy،Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-492971
Modern Language Association (MLA)
Geraci, Girolamo…[et al.]. Herpes Simplex Esophagitis in Immunocompetent Host : A Case Report. Diagnostic and Therapeutic Endoscopy No. 2009 (2009), pp.1-3.
https://search.emarefa.net/detail/BIM-492971
American Medical Association (AMA)
Geraci, Girolamo& Pisello, F.& Modica, G.& Li Volsi, F.& Cajozzo, M.& Sciumè, C.. Herpes Simplex Esophagitis in Immunocompetent Host : A Case Report. Diagnostic and Therapeutic Endoscopy. 2009. Vol. 2009, no. 2009, pp.1-3.
https://search.emarefa.net/detail/BIM-492971
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492971