A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae
Acute esophageal necrosis is a rare condition; visualization of necrosis on esophagoduodenoscopy can help establish the diagnosis. Due to variations in blood supply, there is a higher propensity for ischemic episodes to occur along the lower esophagus; these can be of particular importance during ti...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Gastro Hep Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772572323000651 |
| _version_ | 1797729878730080256 |
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| author | Lekha Yadukumar, MD Hunain Aslam, MD Khalid Ahmed, MD Peter Iskander, MD Khadijah Sajid, MD Omar Syed, MD Mark M. Aloysius, MD Simin Nasr, MD Vikas Khurana, MD |
| author_facet | Lekha Yadukumar, MD Hunain Aslam, MD Khalid Ahmed, MD Peter Iskander, MD Khadijah Sajid, MD Omar Syed, MD Mark M. Aloysius, MD Simin Nasr, MD Vikas Khurana, MD |
| author_sort | Lekha Yadukumar, MD |
| collection | DOAJ |
| description | Acute esophageal necrosis is a rare condition; visualization of necrosis on esophagoduodenoscopy can help establish the diagnosis. Due to variations in blood supply, there is a higher propensity for ischemic episodes to occur along the lower esophagus; these can be of particular importance during times of hypotension. Underlying infections and atherosclerosis can further exacerbate blood supply leading to ischemia in these watershed zones. We present a case of a patient with Klebsiella pneumonia who was found to have “coffee-ground” output on nasogastric tube suctioning. Esophagoduodenoscopy was performed, which showed evidence of circumferential esophageal necrosis. Unfortunately, despite antibiotic and vasopressor support, the patient ultimately passed away. |
| first_indexed | 2024-03-12T11:36:03Z |
| format | Article |
| id | doaj.art-fa68ce6517da4e029eee21e543943555 |
| institution | Directory Open Access Journal |
| issn | 2772-5723 |
| language | English |
| last_indexed | 2024-03-12T11:36:03Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gastro Hep Advances |
| spelling | doaj.art-fa68ce6517da4e029eee21e5439435552023-09-01T05:03:27ZengElsevierGastro Hep Advances2772-57232023-01-0126827829A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella PneumoniaeLekha Yadukumar, MD0Hunain Aslam, MD1Khalid Ahmed, MD2Peter Iskander, MD3Khadijah Sajid, MD4Omar Syed, MD5Mark M. Aloysius, MD6Simin Nasr, MD7Vikas Khurana, MD8Internal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaCorrespondence: Address correspondence to: Peter Iskander, MD, The Wright Center for Graduate Medical Education, Internal Medicine, 134 Kurtz Street, 2nd Floor, Dunmore, Pennsylvania 18510.; Internal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaInternal Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Family Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania; Gastroenterology, The Wright Center for Graduate Medical Education, Scranton, PennsylvaniaAcute esophageal necrosis is a rare condition; visualization of necrosis on esophagoduodenoscopy can help establish the diagnosis. Due to variations in blood supply, there is a higher propensity for ischemic episodes to occur along the lower esophagus; these can be of particular importance during times of hypotension. Underlying infections and atherosclerosis can further exacerbate blood supply leading to ischemia in these watershed zones. We present a case of a patient with Klebsiella pneumonia who was found to have “coffee-ground” output on nasogastric tube suctioning. Esophagoduodenoscopy was performed, which showed evidence of circumferential esophageal necrosis. Unfortunately, despite antibiotic and vasopressor support, the patient ultimately passed away.http://www.sciencedirect.com/science/article/pii/S2772572323000651Acute Esophageal NecrosisKlebsiella PneumoniaEsophagoduodenoscopyGastrointestinal BleedCoffee-ground vomitus |
| spellingShingle | Lekha Yadukumar, MD Hunain Aslam, MD Khalid Ahmed, MD Peter Iskander, MD Khadijah Sajid, MD Omar Syed, MD Mark M. Aloysius, MD Simin Nasr, MD Vikas Khurana, MD A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae Gastro Hep Advances Acute Esophageal Necrosis Klebsiella Pneumonia Esophagoduodenoscopy Gastrointestinal Bleed Coffee-ground vomitus |
| title | A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae |
| title_full | A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae |
| title_fullStr | A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae |
| title_full_unstemmed | A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae |
| title_short | A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae |
| title_sort | rare case of acute esophageal necrosis precipitated by klebsiella pneumoniae |
| topic | Acute Esophageal Necrosis Klebsiella Pneumonia Esophagoduodenoscopy Gastrointestinal Bleed Coffee-ground vomitus |
| url | http://www.sciencedirect.com/science/article/pii/S2772572323000651 |
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