Johny Salem¹, Nourhane Al Akoum², Karam Karam³, Sarah Jalloul³, Elias Saikaly⁴ and Elias Fiani⁵*

¹Department of Internal Medicine, Faculty of Medicine, University of Balamand, Dekweneh-Beirut, Lebanon
²Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
³Department of Gastroenterology, Faculty of Medicine, University of Balamand, Dekweneh-Beirut, Lebanon, Beirut, Lebanon
⁴Department of General Surgery, Saint George Hospital University Medical Center, Beirut, Lebanon
⁵Associate Professor in Department of Gastroenterology, Faculty of Medicine, University of Balamand, Dekweneh-Beirut, Lebanon

*Corresponding Author: Elias Fiani, Associate Professor in Department of Gastroenterology, Faculty of Medicine, University of Balamand, Dekweneh-Beirut, Lebanon.

Received: April 24, 2024; Published: May 17, 2024

Abstract

Introduction: Esophagitis is an entity mainly caused by noninfectious etiologies, most commonly gastroesophageal reflux disease. The majority of infectious cases are seen in immunocompromised patients and are mainly due to herpes simplex virus (HSV), cytomegalovirus (CMV) and Candida. Herpes simplex esophagitis has only been reported on few occasions in immunocompetent hosts.

Case: We report a case of a young 28-year-old immunocompetent male presenting for agitation and hematemesis admitted to the hospital with eventual final diagnosis of herpetic esophagitis. Treatment with acyclovir resulted in good patient outcomes.

Discussion and Conclusion: Herpes simplex esophagitis is common in immunocompromised patients but has only been reported on few occasions in immunocompetent hosts. Such a rare condition should be on the differential for any diffuse esophagitis of possible infectious etiology. Prompt diagnosis and treatment can lead to excellent outcomes in such patients.

Keywords: Esophagitis; Herpes Simplex Virus (HSV); Cytomegalovirus (CMV)

References

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Citation

Citation: Elias Fiani., et al. “Pitfalls of a Negative Tuberculin Skin Test When Used as a Screening Modality for Latent Tuberculosis Prior to Adalimumab Therapy: A Case Report". Acta Scientific Gastrointestinal Disorders 7.6 (2024): 05-07.

Copyright

Copyright: © 2024 Elias Fiani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.