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A case report of herpetic and candidal esophagitis in an immunocompetent adult
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作者 Vishwanath Sathyanarayanan Abdul Razak +3 位作者 m mukhyprana prabhu Kavitha Saravu Ganesh Pai C Anuradha K Rao 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2011年第3期251-252,共2页
Reports of combined candidal and herpetic esophagitis in immunocompetent states are rare and sporadic.A 44-year-old previously healthy lady presented with a one week history of progressive dysphagia,odynophagia and fe... Reports of combined candidal and herpetic esophagitis in immunocompetent states are rare and sporadic.A 44-year-old previously healthy lady presented with a one week history of progressive dysphagia,odynophagia and fever.Esophagogastroduodenoscopy(EGD) showed extensive desquamation of the entire esophagus except for distal 4 cm.Histopathological examination revealed ulcerated and inflamed squamous epithelium with the margin of ulcer showing a few overhanging squamous cells with dense eosinophilic cytoplasm,multinucleated and faceted nuclei with glassy chromatin,and an occasional Cowdry type A intranuclear inclusion bodies.Few candidal spores were seen in the underlying stroma.Intravenous acyclovir,fluconazole and pantoprazole were initiated.Oral analgesics were given for pain relief.She was treated for a total of 14 days.She showed significant improvement and was tolerating oral intake after discharge.The patient was asymptomatic with no evidence of recurrence at a 2-month follow-up. 展开更多
关键词 HERPES SIMPLEX CANDIDA ESOPHAGITIS IMMUNOCOMPETENT
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