Keim Victor J, Lutterer Achim, Geddert Helene, Gossner Liebwin
Medizinische Klinik II, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Pathologisches Institut, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Z Gastroenterol. 2021 Oct;59(10):1078-1082. doi: 10.1055/a-1589-6806. Epub 2021 Oct 12.
Eosinophilic esophagitis is an important differential diagnosis in the presence of dysphagia or bolus obstruction of the esophagus. Delayed diagnosis of eosinophilic esophagitis can lead to strictures of the esophagus.We report on a young patient who presented with initially unclear retrosternal symptoms to our department. The diagnosis of eosinophilic esophagitis, complicated by an intramural abscess of the esophagus, was established. After spontaneous drainage of the abscess, antibiotic therapy and subsequent remission induction of eosinophilic esophagitis with orodispersible budesonide resulted in a good therapeutic outcome.
嗜酸性粒细胞性食管炎是食管存在吞咽困难或团块梗阻时的重要鉴别诊断。嗜酸性粒细胞性食管炎的延迟诊断可导致食管狭窄。我们报告了一名年轻患者,最初因胸骨后症状不明前来我科就诊。最终确诊为嗜酸性粒细胞性食管炎,并伴有食管壁内脓肿。脓肿自发引流后,给予抗生素治疗,随后使用口腔崩解型布地奈德诱导嗜酸性粒细胞性食管炎缓解,取得了良好的治疗效果。