HSV Esophagitis in an Immunocompetent 17-Year-Old

Herpes Simplex Virus (HSV) esophagitis is a relatively rare form of infectious esophagitis. Typically, patients with viral esophagitis are immunocompromised. HSV esophagitis in an immunocompetent patient is uncommonly reported. The objective of this case report is to discuss symptoms, investigations...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Vedika Rajasekaran BS, Victoria Rahaman MD, Xing Hou MD, Russell W. Steele MD
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/2cb6d24c869f46b7a6efe55fc083ec5a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:2cb6d24c869f46b7a6efe55fc083ec5a
record_format	dspace
spelling	oai:doaj.org-article:2cb6d24c869f46b7a6efe55fc083ec5a2021-11-23T23:04:02ZHSV Esophagitis in an Immunocompetent 17-Year-Old2333-794X10.1177/2333794X211052914https://doaj.org/article/2cb6d24c869f46b7a6efe55fc083ec5a2021-11-01T00:00:00Zhttps://doi.org/10.1177/2333794X211052914https://doaj.org/toc/2333-794XHerpes Simplex Virus (HSV) esophagitis is a relatively rare form of infectious esophagitis. Typically, patients with viral esophagitis are immunocompromised. HSV esophagitis in an immunocompetent patient is uncommonly reported. The objective of this case report is to discuss symptoms, investigations, imaging, and treatment of HSV esophagitis in a healthy adolescent male. A previously healthy 17-year-old male presented to the ED of our facility with a 5-day history of fever, odynophagia, lethargy, and 2 episodes of emesis that failed to resolve with antibiotic treatment. Investigations revealed a low platelet count, mild hyponatremia, hypochloremia, and an elevated AST and ALT. A respiratory infection panel as well as CMV IgG, HIV, Rickettsia, and EBV tests were negative. HSV-1 PCR was positive and upper endoscopy revealed a friable mucosa, erythema, and exudates in the lower esophagus and erythematous duodenopathy. The patient received a diagnosis of HSV esophagitis and was treated with a 14-day course of IV to PO acyclovir. There was a rapid improvement of his symptoms with antiviral therapy.Vedika Rajasekaran BSVictoria Rahaman MDXing Hou MDRussell W. Steele MDSAGE PublishingarticlePediatricsRJ1-570ENGlobal Pediatric Health, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570
spellingShingle	Pediatrics RJ1-570 Vedika Rajasekaran BS Victoria Rahaman MD Xing Hou MD Russell W. Steele MD HSV Esophagitis in an Immunocompetent 17-Year-Old
description	Herpes Simplex Virus (HSV) esophagitis is a relatively rare form of infectious esophagitis. Typically, patients with viral esophagitis are immunocompromised. HSV esophagitis in an immunocompetent patient is uncommonly reported. The objective of this case report is to discuss symptoms, investigations, imaging, and treatment of HSV esophagitis in a healthy adolescent male. A previously healthy 17-year-old male presented to the ED of our facility with a 5-day history of fever, odynophagia, lethargy, and 2 episodes of emesis that failed to resolve with antibiotic treatment. Investigations revealed a low platelet count, mild hyponatremia, hypochloremia, and an elevated AST and ALT. A respiratory infection panel as well as CMV IgG, HIV, Rickettsia, and EBV tests were negative. HSV-1 PCR was positive and upper endoscopy revealed a friable mucosa, erythema, and exudates in the lower esophagus and erythematous duodenopathy. The patient received a diagnosis of HSV esophagitis and was treated with a 14-day course of IV to PO acyclovir. There was a rapid improvement of his symptoms with antiviral therapy.
format	article
author	Vedika Rajasekaran BS Victoria Rahaman MD Xing Hou MD Russell W. Steele MD
author_facet	Vedika Rajasekaran BS Victoria Rahaman MD Xing Hou MD Russell W. Steele MD
author_sort	Vedika Rajasekaran BS
title	HSV Esophagitis in an Immunocompetent 17-Year-Old
title_short	HSV Esophagitis in an Immunocompetent 17-Year-Old
title_full	HSV Esophagitis in an Immunocompetent 17-Year-Old
title_fullStr	HSV Esophagitis in an Immunocompetent 17-Year-Old
title_full_unstemmed	HSV Esophagitis in an Immunocompetent 17-Year-Old
title_sort	hsv esophagitis in an immunocompetent 17-year-old
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/2cb6d24c869f46b7a6efe55fc083ec5a
work_keys_str_mv	AT vedikarajasekaranbs hsvesophagitisinanimmunocompetent17yearold AT victoriarahamanmd hsvesophagitisinanimmunocompetent17yearold AT xinghoumd hsvesophagitisinanimmunocompetent17yearold AT russellwsteelemd hsvesophagitisinanimmunocompetent17yearold
_version_	1718416084266123264

HSV Esophagitis in an Immunocompetent 17-Year-Old

Ejemplares similares