Herpetic Esophagitis in Immunocompetent Child

A previously healthy 2.5-year-old male child presented with vomiting, diarrhea, and fever. During hospitalization he developed odynophagia and refusal to eat. His symptoms did not respond to acid suppressant therapy. He underwent upper endoscopy which showed severe inflammation, ulcerations and abun...

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Bibliographic Details
Published inPediatric gastroenterology, hepatology & nutrition Vol. 22; no. 3; pp. 298 - 302
Main Authors Altamimi, Eyad M, Alorjani, Mohammed S, Alquran, Wejdan Y
Format Journal Article
LanguageKorean
Published 2019
Subjects
Herpes simplex
Esophagitis
Ulcer
Acyclovir
Child
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Summary:A previously healthy 2.5-year-old male child presented with vomiting, diarrhea, and fever. During hospitalization he developed odynophagia and refusal to eat. His symptoms did not respond to acid suppressant therapy. He underwent upper endoscopy which showed severe inflammation, ulcerations and abundant necrosis. Histopathological features and serological testing were consistent with herpetic esophagitis. He had no history of recurrent infections or history of sick contacts. His immunological work up showed normal level of immunoglobulins and his White Blood Cells subpopulations were normal. His HSV serology was positive. The patient was started on acyclovir 5 mg/kg q 8 hours. He resolved his symptoms within 24 hours of treatment.
Bibliography:KISTI1.1003/JNL.JAKO201915540967623
ISSN:2234-8646
2234-8840