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免疫功能正常患者的单纯疱疹性食管炎:一种罕见但易于处理的病症。

Herpes Simplex Esophagitis in Immunocompetent Patients: A Rare But Easily Managed Condition.

作者信息

Ullah Waqas, Abdullah Hafez Mohammad Ammar, Amjad Waseem, Hussain Qulsoom, Saeed Jamaluddin, Hurairah Abu

机构信息

Department of Internal Medicine, Abington Memorial Hospital, Abington, Pennsylvania.

Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

出版信息

S D Med. 2019 Aug;72(8):344-347.

Abstract

Herpes simplex (HS) is an opportunistic infection, primarily in immunocompromised patients, caused by herpes simplex virus. Oral and genital mucosa are the most commonly involved sites; it is rare for HSV to invade the esophagus and cause esophagitis, especially in immunocompetent patients. Here, we present a case where an immunocompetent patient presented with HS esophagitis, which had evolved into esophageal ulcers. He was successfully treated with acyclovir. Subsequently, we did a comprehensive literature search and tabulated all the possible complications and management plans of previously reported cases of HS in immunocompetent patients.

摘要

单纯疱疹(HS)是一种机会性感染,主要发生在免疫功能低下的患者中,由单纯疱疹病毒引起。口腔和生殖器黏膜是最常受累的部位;单纯疱疹病毒侵入食管并引起食管炎较为罕见,尤其是在免疫功能正常的患者中。在此,我们报告一例免疫功能正常的患者出现单纯疱疹性食管炎并发展为食管溃疡的病例。他接受阿昔洛韦治疗后成功康复。随后,我们进行了全面的文献检索,并将先前报道的免疫功能正常患者单纯疱疹病例的所有可能并发症和治疗方案制成表格。

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