Gisasola Paul, Iriarte Ainara, Larez Martha Rosa, Casanova Laura, Bujanda Luis
Zumarraga Ospitalea, OSI Goierri-Urola Garaia, Department of Gastroenterology, Hospital Zumarraga, Argixao Auzoa, 20700 Zumarraga, Gipuzkoa, Basque Country Spain.
2Department of Gastroenterology, Instituto Biodonostia, Centro de Investigación Biomédica en Red en Enfermedades Hepáticas Y Digestivas (CIBERehd), Universidad del País Vasco (UPV/EHU), San Sebastián, Spain.
Allergy Asthma Clin Immunol. 2019 Feb 28;15:12. doi: 10.1186/s13223-018-0313-2. eCollection 2019.
Eosinophilic esophagitis (EoE) is one of the most prevalent esophageal diseases and the leading cause of dysphagia and food impaction in children and young adults. EoE represents a chronic, local immune-mediated esophageal disease, characterized clinically by symptoms related to esophageal dysfunction and histologically by eosinophil-predominant inflammation. Mediastinal abscess is an uncommon condition that typically appears after esophageal perforations or thoracic surgeries, usually requiring treatment for surgical intervention due to its high morbidity-mortality. Mediastinal abscess, outside these two contexts, is extremely rare. We present the case of a mediastinal abscess secondary to EoE. It is important to think about this entity when there is a mediastinal abscess without trauma or previous surgery.
嗜酸性粒细胞性食管炎（EoE）是最常见的食管疾病之一，也是儿童和青年成人吞咽困难和食物嵌塞的主要原因。EoE是一种慢性、局部免疫介导的食管疾病，临床特征为与食管功能障碍相关的症状，组织学特征为以嗜酸性粒细胞为主的炎症。纵隔脓肿是一种罕见的病症，通常出现在食管穿孔或胸外科手术后，由于其高发病率和死亡率，通常需要手术干预治疗。在这两种情况之外，纵隔脓肿极为罕见。我们报告一例继发于EoE的纵隔脓肿病例。当出现无创伤或既往手术史的纵隔脓肿时，考虑到这种情况很重要。
