Esophageal Actinomycosis in an Immunocompetent Patient Mimicking Carcinoma: A Case Report

Autor: Shekhar Poudel, Abhin Sapkota, Rahul Devkota, Sujan Chandra Poudel, Angel Dangol
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Nepal Medical Association, Vol 60, Iss 250 (2022)
Druh dokumentu: article
ISSN: 0028-2715
1815-672X
DOI: 10.31729/jnma.7354
Popis: Esophageal actinomycosis is a rare occurrence that presents a diagnostic challenge due to its vague clinical picture. The common symptoms include dysphagia, odynophagia and epigastric pain. These symptoms, although alarming, are usually non-specific. In this report, we describe an immunocompetent 38-year-old woman who presented with dysphagia and burning chest pain. Her initial examination and investigations suggested carcinoma of the oesophagus. On further evaluation and histopathology examination, she was diagnosed with esophageal actinomycosis and managed with antibiotics and symptomatic relief. She had significant improvement on follow up examination. The diagnosis of this condition in an immunocompetent patient can be confusing and requires a high degree of suspicion.
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