Esophageal actinomycosis in a patient with end‐stage renal disease
We report a case of esophageal actinomycosis in an end‐stage renal disease patient. A 28‐year‐old lady, known case of systemic lupus erythematosus, hepatitis B virus infection with end‐stage renal disease on regular maintenance hemodialysis since 5 years presented with history of epigastric pain and odynophagia for 1 week. Her upper gastrointestinal endoscopic examination revealed extensive necrotic areas with membrane in the esophagus. Histopathology revealed actinomycotic colonies and bacterial clumps. She was treated with intravenous penicillin followed by oral ampicillin for 6 months. She showed marked clinical improvement, and repeat endoscopy showed healing of ulceration and no evidence of actinomycosis.
Source: Hemodialysis International - Category: Hematology Authors: Shankar Prasad Nagaraju, Dilip Ashok Kirpalani, Aditya S. Bhabhe, Raghvendra Prasad, Hardik Shah, Ashok L. Kirpalani Tags: Case Report Source Type: research
More News: Actinomycosis | Cold Sores | Cytomegalovirus | Dialysis | Endoscopy | Fungal Infections | Gastroenterology | Hematology | Hemodialysis | Hepatitis | Hepatitis B | Herpes | Lupus | Pain | Penicillin | Tuberculosis | Upper Endoscopy