A case report of herpetic and candidal esophagitis in an immunocompetent adult
Asian Pacific Journal of Tropical Biomedicine
;
(12): 251-252, 2011.
Article
in English
| WPRIM
| ID: wpr-335034
ABSTRACT
Reports of combined candidal and herpetic esophagitis in immunocompetent states are rare and sporadic. A 44-year-old previously healthy lady presented with a one week history of progressive dysphagia, odynophagia and fever. Esophagogastroduodenoscopy (EGD) showed extensive desquamation of the entire esophagus except for distal 4 cm. Histopathological examination revealed ulcerated and inflamed squamous epithelium with the margin of ulcer showing a few overhanging squamous cells with dense eosinophilic cytoplasm, multinucleated and faceted nuclei with glassy chromatin, and an occasional Cowdry type A intranuclear inclusion bodies. Few candidal spores were seen in the underlying stroma. Intravenous acyclovir, fluconazole and pantoprazole were initiated. Oral analgesics were given for pain relief. She was treated for a total of 14 days. She showed significant improvement and was tolerating oral intake after discharge. The patient was asymptomatic with no evidence of recurrence at a 2-month follow-up.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Antiviral Agents
/
Pathology
/
Spores, Fungal
/
Virology
/
Candidiasis
/
Treatment Outcome
/
Therapeutic Uses
/
Diagnosis
/
Drug Therapy
/
Esophagitis
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Asian Pacific Journal of Tropical Biomedicine
Year:
2011
Type:
Article
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