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Related Concept Videos

Acute Pharyngitis01:30

Acute Pharyngitis

447
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
447
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
44
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

158
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
158
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

68
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
68
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

109
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
109
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

65
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
65

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Open Tracheostomy Gastric Acid Aspiration Murine Model of Acute Lung Injury Results in Maximal Acute Nonlethal Lung Injury
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Acute phlegmonous esophagitis.

Prashant Gopal1, Amol Dahale2, Aniket Payagude3

  • 1Medical Gastroenterology, Dr D Y Patil Medical College, Hospital and Research Centre, Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.

BMJ Case Reports
|November 9, 2024
PubMed
Summary
This summary is machine-generated.

Acute phlegmonous esophagitis (APE), a rare bacterial infection, presents with severe symptoms like chest pain and difficulty swallowing. Early diagnosis via CT scans and prompt treatment with antibiotics are crucial for survival.

Keywords:
EndoscopyInfection (gastroenterology)Nutritional supportOesophagus

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Area of Science:

  • Gastroenterology
  • Infectious Diseases

Background:

  • Acute phlegmonous esophagitis (APE) is a rare but serious bacterial infection affecting the esophagus.
  • It typically involves the submucosal and muscularis layers, leading to severe symptoms.

Observation:

  • Two young female patients presented with dysphagia and odynophagia, indicative of APE.
  • Risk factors included prior surgery and uncontrolled diabetes.
  • CT scans revealed diffuse esophageal thickening, while endoscopy showed erythema and ulcerations.

Findings:

  • Both patients were successfully managed with intravenous antibiotics and supportive care.
  • Computed tomography (CT) is identified as the preferred non-invasive diagnostic tool.
  • Early diagnosis and treatment are critical due to APE's high mortality rate.

Implications:

  • Prompt medical intervention, including antibiotics and nutritional support, is vital for APE management.
  • Surgical or endoscopic intervention may be necessary for non-responsive cases or complications.
  • This case series highlights the importance of considering APE in patients with relevant risk factors and symptoms.