정상 면역기능인 환자에서 1차 감염에 의해 발생된 헤르페스 식도염 1예
A case of herpes simplex virus esophagitis by primary infection in an immunocompetent patient
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초록
저자들은 식욕부진과 구토를 주소로 내원한 면역저하의 근거가 없는 72세 남자 환자에서 시행된 상부 위장관 내시경 검사와 조직검사에서 발견된 헤르페스 식도염을 경험하였기에 이를 보고하는 바이다.
Abstract
Herpes simplex virus esophagitis (HSVE) is a rare disease and most of cases were reported in the immunocompromised state. In the immunocompetent individuals, HSVE was reported in only a few cases worldwidely, moreover some case of which was not a pure HSV infection but a mixed infections with other pathogens. We report a case of HSVE with 72 years-old immunocompetent male patient. He complained about vomiting, poor oral intake. We couldn't find any evidence that he was in immunocompromised state. Upper gastrointestinal endoscopy demonstrated that the esophagus mucosa was friable, having hemorrhagic tendency, and there were multiple ulcers, which was covered with whitish patch, became confluent like a map at the distal. Microscopic examinations revealed that the squamous epithelium at the ulcer margin was infiltrated with inflammatory cells and have intranuclear eosinophilic inclusion body. This case report describes of HSVE by primary infection in an immunocompetent patient without any other infection.(Korean J Med 70:330-336, 2006)
참고문헌 (16)
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