Rare Etiology of Odynophagia in a Female Adolescent
Herpes esophagitis (HE) is a rare condition in immunocompetent adolescents. However, it commonly occurs as a primary infection in younger individuals. Herein, we report a 16-year-old female patient who had a history of fever for 5 days, odynophagia, and orolabial herpes infection for 7 days. Cluster...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-03-01
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| Series: | Case Reports in Gastroenterology |
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| Online Access: | http://prod.karger.com/Article/FullText/513801 |
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| author | Anastasios Koutsoumourakis Asterios Gagalis Maria Fotoulaki Maria Stafylidou |
| author_facet | Anastasios Koutsoumourakis Asterios Gagalis Maria Fotoulaki Maria Stafylidou |
| author_sort | Anastasios Koutsoumourakis |
| collection | DOAJ |
| description | Herpes esophagitis (HE) is a rare condition in immunocompetent adolescents. However, it commonly occurs as a primary infection in younger individuals. Herein, we report a 16-year-old female patient who had a history of fever for 5 days, odynophagia, and orolabial herpes infection for 7 days. Clusters of painful vesicles on an erythematous base on the lips, gingiva, and palate were observed on physical examination. Further, esophagogastroduodenoscopy revealed diffuse linear ulcerations in the distal esophagus. The patient then received the following treatment: intravenous (I.V.) acyclovir 5 mg/kg three times a day, I.V. omeprazole 40 mg two times a day, and acyclovir 5% cream four times a day. After 8 days of admission, the patient was discharged. A follow-up esophagogastroduodenoscopy was performed 7 weeks after discharge, and the results revealed that the esophageal mucosa had a normal appearance. The effect of antiviral treatment against HE remains unknown in these patients. Nevertheless, it is believed to accelerate the healing process in individuals with esophageal mucosal barrier damage. To the best of our knowledge, this case of a female adolescent with an intact immune system is the sixth case of herpes simplex esophagitis to be reported in the literature. |
| first_indexed | 2024-12-14T17:08:30Z |
| format | Article |
| id | doaj.art-6b2381a3043a4121b07490ac705c7daf |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-14T17:08:30Z |
| publishDate | 2021-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-6b2381a3043a4121b07490ac705c7daf2022-12-21T22:53:40ZengKarger PublishersCase Reports in Gastroenterology1662-06312021-03-0115135235810.1159/000513801513801Rare Etiology of Odynophagia in a Female AdolescentAnastasios Koutsoumourakis0Asterios Gagalis1Maria Fotoulaki2Maria Stafylidou3First Department of Internal Medicine, Papageorgiou Teaching Hospital, Thessaloniki, GreeceFirst Department of Internal Medicine, Papageorgiou Teaching Hospital, Thessaloniki, GreeceFourth Department of Pediatrics, Papageorgiou Teaching Hospital, Thessaloniki, GreeceFirst Department of Internal Medicine, Papageorgiou Teaching Hospital, Thessaloniki, GreeceHerpes esophagitis (HE) is a rare condition in immunocompetent adolescents. However, it commonly occurs as a primary infection in younger individuals. Herein, we report a 16-year-old female patient who had a history of fever for 5 days, odynophagia, and orolabial herpes infection for 7 days. Clusters of painful vesicles on an erythematous base on the lips, gingiva, and palate were observed on physical examination. Further, esophagogastroduodenoscopy revealed diffuse linear ulcerations in the distal esophagus. The patient then received the following treatment: intravenous (I.V.) acyclovir 5 mg/kg three times a day, I.V. omeprazole 40 mg two times a day, and acyclovir 5% cream four times a day. After 8 days of admission, the patient was discharged. A follow-up esophagogastroduodenoscopy was performed 7 weeks after discharge, and the results revealed that the esophageal mucosa had a normal appearance. The effect of antiviral treatment against HE remains unknown in these patients. Nevertheless, it is believed to accelerate the healing process in individuals with esophageal mucosal barrier damage. To the best of our knowledge, this case of a female adolescent with an intact immune system is the sixth case of herpes simplex esophagitis to be reported in the literature.http://prod.karger.com/Article/FullText/513801herpes esophagitisadolescentimmunocompetentacyclovir |
| spellingShingle | Anastasios Koutsoumourakis Asterios Gagalis Maria Fotoulaki Maria Stafylidou Rare Etiology of Odynophagia in a Female Adolescent Case Reports in Gastroenterology herpes esophagitis adolescent immunocompetent acyclovir |
| title | Rare Etiology of Odynophagia in a Female Adolescent |
| title_full | Rare Etiology of Odynophagia in a Female Adolescent |
| title_fullStr | Rare Etiology of Odynophagia in a Female Adolescent |
| title_full_unstemmed | Rare Etiology of Odynophagia in a Female Adolescent |
| title_short | Rare Etiology of Odynophagia in a Female Adolescent |
| title_sort | rare etiology of odynophagia in a female adolescent |
| topic | herpes esophagitis adolescent immunocompetent acyclovir |
| url | http://prod.karger.com/Article/FullText/513801 |
| work_keys_str_mv | AT anastasioskoutsoumourakis rareetiologyofodynophagiainafemaleadolescent AT asteriosgagalis rareetiologyofodynophagiainafemaleadolescent AT mariafotoulaki rareetiologyofodynophagiainafemaleadolescent AT mariastafylidou rareetiologyofodynophagiainafemaleadolescent |