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免疫功能正常患者的链球菌性食管炎:一种罕见的后遗症。

Streptococcal Esophagitis in an Immunocompetent Patient: A Rare Sequelae.

机构信息

St. Joseph's University Medical Center, Paterson, NJ, USA.

Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.

出版信息

J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241271985. doi: 10.1177/23247096241271985.

Abstract

Infectious esophagitis (IE) is the leading cause of esophagitis, second only to gastroesophageal reflux disease. Infectious esophagitis is typically observed in immunocompromised individuals due to neutropenia, HIV/AIDS, solid organ malignancies, cancer-directed therapy, or chronic steroid use. The most common causes of IE are herpes simplex virus (HSV), cytomegalovirus (CMV), and . Acute bacterial esophagitis is exceedingly rare, particularly in immunocompetent patients. Herein, we describe a unique case of acute streptococcal esophagitis in a male patient with no pertinent medical history. The patient's substernal chest pain and odynophagia resolved after antibiotic treatment.

摘要

感染性食管炎(IE)是食管炎的主要原因,仅次于胃食管反流病。由于中性粒细胞减少症、HIV/AIDS、实体器官恶性肿瘤、癌症定向治疗或慢性类固醇使用,免疫功能低下的个体通常会发生感染性食管炎。IE 的最常见原因是单纯疱疹病毒(HSV)、巨细胞病毒(CMV)和 。急性细菌性食管炎极为罕见,尤其是在免疫功能正常的患者中。在此,我们描述了一名无相关病史的男性患者发生急性链球菌性食管炎的独特病例。患者胸骨后胸痛和吞咽困难在抗生素治疗后缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0f4/11342312/a7a3b66e5218/10.1177_23247096241271985-fig1.jpg

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