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a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2015; 69(3): 201–203. doi:10.14735/amgh2015201.

Torpid herpetic esophagitis in immunocompetent patient – video case report

Ivana Mikoviny Kajzrlíková1, Alžběta Buriánová2, Vladimír Jr. Hořava3, Petr Vítek4,5, Petr Širůček6

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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.


esophagitis, herpes simplex virus, valacyklovir

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