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A Creeping Malaise Leading to Calamity: Herpes Esophagitis Perforation
Maira Ahmed1, Gordon Buduhan2, Lawrence Tan2
1University of Manitoba, Max Rady College of Medicine, Winnipeg, Manitoba, Canada.
Abstract:
Herpes simplex virus is an uncommon cause of esophagitis and particularly so in immunocompetent individuals. Although the common presentation tends to be odynophagia and/or dysphagia, fever, and retrosternal chest pain, there are variations and rarely it can present more ominously as esophageal rupture. We report a rare case of esophageal perforation with penetration into the vertebral space secondary to chronic herpes simplex virus esophagitis in a 71-year-old immunocompetent woman. This is the second known such occurrence. The patient had a long stay in the hospital but recovered from the condition and was followed up for 1 year after initial presentation.
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