Fukuda Sho, Watanabe Noboru, Domen Takahiro, Ishioka Mitsuaki, Sawaguchi Masayuki, Ohba Reina, Shiga Hisashi, Matsuhashi Tamotsu, Jin Mario, Iijima Katsunori
Department of Gastroenterology, Akita University Graduate School of Medicine, Hondo 1-1-1, Akita, Akita, Japan.
Clin J Gastroenterol. 2018 Feb;11(1):38-41. doi: 10.1007/s12328-017-0797-1. Epub 2017 Nov 9.
A 60-year-old man presented with odynophagia after bronchial artery infusion chemotherapy for pulmonary metastasis of hepatocellular carcinoma. Esophagogastroduodenoscopy (EGD) revealed an esophageal ulcer in the middle thoracic esophagus. An esophageal biopsy demonstrated no malignancy. However, the symptoms had not improved after a month. EGD was performed again and showed a white cord lump at the bottom of the same esophageal ulcer identified before, showing no improving tendency. A repeated biopsy of the lump revealed actinomycosis, and the symptoms were improved by the oral administration of ampicillin. We herein report a case in which esophageal actinomycosis with a unique morphology of refractory esophageal ulcer was rapidly improved by the administration of antibiotics.
一名60岁男性在接受支气管动脉灌注化疗治疗肝细胞癌肺转移后出现吞咽痛。食管胃十二指肠镜检查（EGD）显示胸段食管中段有一处食管溃疡。食管活检未发现恶性病变。然而，一个月后症状并未改善。再次进行EGD检查，发现在之前确定的同一食管溃疡底部有一个白色索状肿块，且无改善趋势。对该肿块再次活检显示为放线菌病，口服氨苄西林后症状得到改善。我们在此报告一例食管放线菌病病例，其具有难治性食管溃疡的独特形态，通过抗生素治疗迅速得到改善。
