Korean J Med.  2004 Sep;67(3):302-306.

A case of herpes simplex virus esophagitis with candidal esophagitis in the immunocompetent patient

Affiliations
  • 1Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. midoctor@emc.eulji.ac.kr

Abstract

Herpes simplex virus esophagitis and candidal esophagitis can be found in immunocompromised patients. But it rarely occurs in immunocompetent patients. Diagnosis is usually established with an upper gastrointestinal endoscopy. The lesions of herpes simplex virus esophagitis involves the squamous mucosa, where the earlist manifestation is a vesicle, rarely. We report a case of herpes simplex virus esophagitis who, being immunologically healthy, presented with substernal pain and dysphagia and showed vesicle formation on endoscopy. The patient also showed whitish patch and spot on esophageal mucosae. The patient showed loss of symptom and improvement of endoscopic finding after conservative management and antifungal therapy.

Keyword

Herpes simplex virus esophagitis; Candidal esophagitis; Immmunocompetent; Vesicle

MeSH Terms

Deglutition Disorders
Diagnosis
Endoscopy
Endoscopy, Gastrointestinal
Esophagitis*
Herpes Simplex*
Humans
Immunocompromised Host
Mucous Membrane
Simplexvirus*
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