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Herpes simplex esophagitis

机译：单纯疱疹性食管炎

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摘要

One of the well-known complications of immunosuppression is herpes simplex esophagitis and It is rarely found in immunocompetent patients. We present a case of 75-year-old female known case of diabetes mellitus, hypertension and dyslipidemia with two months’ history of dysphagia and odynophagia to solid mainly and cough tinged with blood. On esophagogastroduodenoscopy there was right side of oropharynx ulcer, edema and focal erythema with compression on the esophageal entrance. Biopsy confirmed esophagitis and findings characteristic of herpes simplex virus infection. After the diagnosis was made, the patient was treated with prednisone for 10 days and famciclovir for 14 days and showed significant improvement in period of nearly 2 weeks. We recommend antiviral treatment even for immunocompetent patients for the clear acceleration of the recovery time and prevention of possible complications.
机译：免疫抑制的众所周知的并发症之一是单纯疱疹性食管炎，在有免疫能力的患者中很少发现。我们介绍了一例75岁女性，已知为糖尿病，高血压和血脂异常，其中有两个月的吞咽困难和吞咽困难病史，主要以固体为主，并伴有血液咳嗽。食管胃十二指肠镜检查发现右侧口咽部溃疡，水肿和局灶性红斑，食管入口处受压。活检证实为食管炎并发现单纯疱疹病毒感染的特征。诊断后，患者用泼尼松治疗10天，泛昔洛韦治疗14天，并在近2周内显示出明显改善。我们建议即使对于有免疫能力的患者也要进行抗病毒治疗，以明显缩短恢复时间并预防可能的并发症。

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