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Actinomycosis esophagitis in a patient with persistent dysphagia
Semaan Georges Kosseifi1, Kim Dittus, Dima N Nassour
1Department of Gastroenterology, East Tennessee State University, Johnson City, TN, USA.
Southern Medical Journal
|July 12, 2005
Summary
Esophageal actinomycosis is a rare opportunistic infection in immunocompromised patients. Early diagnosis through biopsy and culture is crucial for effective treatment with penicillin G.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Microbiology
Background:
- Esophagitis in immunocompromised patients has diverse causes, necessitating consideration of uncommon pathogens.
- Actinomycosis is a rare bacterial infection, with limited reported cases involving the esophagus.
Observation:
- This report details an unusual case of esophageal actinomycosis presenting with persistent dysphagia.
- The patient's symptoms and the rarity of the condition potentially delayed definitive diagnosis.
Findings:
- Biopsy and culture are critical for the accurate diagnosis of esophageal actinomycosis.
- Actinomycosis should be included in the differential diagnosis for oral and esophageal complaints, especially in immunocompromised individuals.
Implications:
- Prompt recognition of esophageal actinomycosis as a potential opportunistic infection is vital for immunocompromised patients.
- Treatment involves prolonged parenteral and oral penicillin G therapy.