Vol. 69 No. 3 (2015), Others
Vol. 69 No. 3 (2015)

Torpid herpetic esophagitis in immunocompetent patient – video case report

Others
https://doi.org/10.14735/amgh2015201
Published 26. 6. 2015
Ivana Mikoviny Kajzrlíková
Beskydské Gastrocentrum, Interní oddělení, Nemocnice ve Frýdku‑ Místku, p. o.
Alžběta Buriánová
Interní oddělení, Nemocnice s poliklinikou Havířov, p. o.
Vladimír Jr. Hořava
Oddělení patologie, Nemocnice ve Frýdku-Místku, p. o.
Petr Vítek
Lékařská fakulta OU v Ostravě; LF OU v Ostravě
Petr Širůček
Klinika infekčního lékařství LF OU a FN Ostrava
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Keywords

esophagitis
herpes simplex virus
valacyklovir

Abstract

We present a case of a 49‑year‑old immunocompetent woman with relapsing and prolonged herpes esophagitis that presented with odynophagia and weight loss. Endoscopy revealed esophageal ulcers with typical morphology, other infectious and non‑infectious causes of esophagitis were excluded. Acyclovir therapy had only transient effect. Long term valacyclovir therapy led to relief of symptoms, esophageal ulcers healed. Direct detection of HSV with PCR was not successful.

https://doi.org/10.14735/amgh2015201
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