Ezzell J H, Bremer J, Adamec T A
Division of Gastroenterology, University of Tennessee, Memphis Center for the Health Sciences.
Am J Gastroenterol. 1990 Mar;85(3):296-8.
Bacterial esophagitis is uncommon and has not been well characterized. We present a patient who fulfills the strict definition of bacterial esophagitis set forth by Walsh: "histopathologically demonstrable bacterial invasion of esophageal mucosa or deeper layers with no concomitant fungal, viral, or neoplastic involvement or previous surgery of the esophagus." Bacterial esophagitis should be considered in all immunocompromised patients presenting with odynophagia; however, its occurrence in association with human immunodeficiency virus infection has not yet been reported. Bacterial esophagitis can be a source of occult sepsis and requires different therapy than the other forms of infectious esophagitis.
细菌性食管炎并不常见，其特征也尚未得到充分描述。我们报告一例符合沃尔什提出的细菌性食管炎严格定义的患者：“组织病理学显示细菌侵犯食管黏膜或更深层，且无真菌、病毒或肿瘤累及，也无既往食管手术史。”所有出现吞咽痛的免疫功能低下患者均应考虑细菌性食管炎；然而，其与人类免疫缺陷病毒感染相关的病例尚未见报道。细菌性食管炎可能是隐匿性脓毒症的一个来源，且需要与其他形式的感染性食管炎不同的治疗方法。
