A case report of herpetic and candidal esophagitis in an immunocompetent adult. 2011

Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
Department of Internal Medicine, Kasturba Medical College, Manipal, Manipal University, Karnataka, India.

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.

UI MeSH Term Description Entries
D007181 Inclusion Bodies, Viral An area showing altered staining behavior in the nucleus or cytoplasm of a virus-infected cell. Some inclusion bodies represent "virus factories" in which viral nucleic acid or protein is being synthesized; others are merely artifacts of fixation and staining. One example, Negri bodies, are found in the cytoplasm or processes of nerve cells in animals that have died from rabies. Negri Bodies,Viral Inclusion Bodies,Negri Body,Bodies, Negri,Bodies, Viral Inclusion,Body, Negri,Body, Viral Inclusion,Inclusion Body, Viral,Viral Inclusion Body
D002177 Candidiasis Infection with a fungus of the genus CANDIDA. It is usually a superficial infection of the moist areas of the body and is generally caused by CANDIDA ALBICANS. (Dorland, 27th ed) Candida Infection,Moniliasis,Candida Infections,Candidiases,Infection, Candida,Moniliases
D004941 Esophagitis INFLAMMATION, acute or chronic, of the ESOPHAGUS caused by BACTERIA, chemicals, or TRAUMA. Esophagitides
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005260 Female Females
D006561 Herpes Simplex A group of acute infections caused by herpes simplex virus type 1 or type 2 that is characterized by the development of one or more small fluid-filled vesicles with a raised erythematous base on the skin or mucous membrane. It occurs as a primary infection or recurs due to a reactivation of a latent infection. (Dorland, 27th ed.) Herpes Simplex Virus Infection
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000935 Antifungal Agents Substances that destroy fungi by suppressing their ability to grow or reproduce. They differ from FUNGICIDES, INDUSTRIAL because they defend against fungi present in human or animal tissues. Anti-Fungal Agents,Antifungal Agent,Fungicides, Therapeutic,Antibiotics, Antifungal,Therapeutic Fungicides,Agent, Antifungal,Anti Fungal Agents,Antifungal Antibiotics
D000998 Antiviral Agents Agents used in the prophylaxis or therapy of VIRUS DISEASES. Some of the ways they may act include preventing viral replication by inhibiting viral DNA polymerase; binding to specific cell-surface receptors and inhibiting viral penetration or uncoating; inhibiting viral protein synthesis; or blocking late stages of virus assembly. Antiviral,Antiviral Agent,Antiviral Drug,Antivirals,Antiviral Drugs,Agent, Antiviral,Agents, Antiviral,Drug, Antiviral,Drugs, Antiviral

Related Publications

Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
March 2005, Journal of pediatric gastroenterology and nutrition,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
April 2012, Revista espanola de enfermedades digestivas,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
November 1988, Revista espanola de las enfermedades del aparato digestivo,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
February 1992, Wisconsin medical journal,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
January 1993, Annales de medecine interne,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
May 2019, Pediatric gastroenterology, hepatology & nutrition,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
November 1985, New York state journal of medicine,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
May 2000, Archives of otolaryngology--head & neck surgery,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
July 1994, The Korean journal of internal medicine,
Vishwanath Sathyanarayanan, and Abdul Razak, and M Mukhyprana Prabhu, and Kavitha Saravu, and Pai C Ganesh, and Anuradha K Rao
January 2014, Case reports in infectious diseases,
Copied contents to your clipboard!