A case of esophageal actinomycosis with a unique morphology presenting as a refractory ulcer
| Autor: | Tamotsu Matsuhashi, Masayuki Sawaguchi, Takahiro Domen, Katsunori Iijima, Hisashi Shiga, Noboru Watanabe, Sho Fukuda, Mario Jin, Reina Ohba, Mitsuaki Ishioka |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Malignancy Esophageal Diseases Gastroenterology Actinomycosis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery Biopsy medicine Humans 030212 general & internal medicine Esophagus Ulcer medicine.diagnostic_test Esophagogastroduodenoscopy business.industry General Medicine Middle Aged medicine.disease digestive system diseases Esophageal Ulcer Anti-Bacterial Agents medicine.anatomical_structure 030211 gastroenterology & hepatology Ampicillin medicine.symptom Bronchial artery business Odynophagia |
| Zdroj: | Clinical journal of gastroenterology. 11(1) |
| ISSN: | 1865-7265 |
| Popis: | A 60-year-old man presented with odynophagia after bronchial artery infusion chemotherapy for pulmonary metastasis of hepatocellular carcinoma. Esophagogastroduodenoscopy (EGD) revealed an esophageal ulcer in the middle thoracic esophagus. An esophageal biopsy demonstrated no malignancy. However, the symptoms had not improved after a month. EGD was performed again and showed a white cord lump at the bottom of the same esophageal ulcer identified before, showing no improving tendency. A repeated biopsy of the lump revealed actinomycosis, and the symptoms were improved by the oral administration of ampicillin. We herein report a case in which esophageal actinomycosis with a unique morphology of refractory esophageal ulcer was rapidly improved by the administration of antibiotics. |
| Databáze: | OpenAIRE |
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