Información adicional
- Num_publicacion 73(10)
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Resumen_ingles
Herpes simplex virus esophagitis has been widely reported in immunocompromised patients, but has rarely been decribed in the immunocompetent pediatric patient. The vast majority of infections are related to herpes simplex type 1, although herpes simplex type 2 has occasionally been reported. Its occurrence may be due to reactivation of a previous infection, or less often, it’s a primary infection. The most common clinical features are fever, odynophagia and retroesternal pain. In immunocompetent patients, it occurs as an acute onset process and it’s self-limited in time. Upper endoscopy can lead to a suspicion diagnosis of herpetic esophagitis. Endoscopic findings typically show erythema and ulcers of the oesophageal mucosa and histopathologic examination includes multinucleated giant cells, with ground glass nuclei and eosinophilic inclusions (Cowdry type A inclusion bodies). Tissue viral culture or polymerase chain reaction on histologic samples is required to confirm the diagnosis. Treatment with Acyclovir in healthy patients is controversial as it is a self-limited process. We report a case of acute herpetic esophagitis in an immunocompetent host that debuted with severe acute upper gastrointestinal tract symptoms. It’s important to keep in mind this entity when facing an acute case of odynophagia.
- Palabras_clave_ingles Herpetic esophagitis Immunocompetent patient Primary herpetic infection Teenager Aciclovir
- Todos_autores M. Sánchez Carbonell1, J. Almendros Vidal1, H. Climent Antolí1, C. Pérez Rueda1, J. Pérez Serra2, P. Escrivá Tomás1
- autores listados M. Sánchez Carbonell, J. Almendros Vidal, H. Climent Antolí, C. Pérez Rueda, J. Pérez Serra, P. Escrivá Tomás
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Correspondecia
P. Escrivá Tomás. Servicio de Pediatría. Hospital SVS «Mare de Deu dels Lliris». Polígon de Caramanxel, s/n. 03804 Alcoy (Alicante).
Correo electrónico: escriva_pas@gva.es - Titulo_ingles Herpetic esophagitis in an immunocompetent teenager. A case report
- Centros_trabajo 1Servicio de Pediatría. 2Sección de Medicina Digestiva. Servicio de Medicina Interna. Hospital SVS «Mare de Déu dels Lliris». Alcoy (Alicante)
- Publicado en Acta Pediatr Esp. 2015; 73(10): e265-e270
- copyright ©2015 Ediciones Mayo, S.A.
- Fecha recepcion 23/04/15
- Fecha aceptacion 23/06/15
- Tipo de Artículo Clínico (Microdatos) Case Reports
