Esophageal Actinomycosis Masquerading as Cancer in an Immunocompetent Patient.


Journal

ACG case reports journal
ISSN: 2326-3253
Titre abrégé: ACG Case Rep J
Pays: United States
ID NLM: 101638398

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 26 06 2019
accepted: 19 12 2019
entrez: 21 4 2020
pubmed: 21 4 2020
medline: 21 4 2020
Statut: epublish

Résumé

A 79-year-old African American woman presented with acute hematemesis after progressive dysphagia for 6 weeks and 12-pound weight loss. She had no predisposing immunocompromising comorbidity such as the human immunodeficiency virus or active malignancy. Computed tomography showed air-fluid levels within the esophagus with partial obstruction. Upper endoscopy revealed a 1-cm mass lesion in the midthoracic esophagus, and biopsy results surprisingly showed esophageal actinomycosis. The patient's symptoms resolved on antimicrobial therapy at a one-month follow-up, and the lesion was not seen on repeat endoscopy with biopsy at 3 months. We believe that inhaled corticosteroids for chronic obstructive pulmonary disease may have created the growth milieu by impairing local defenses. Correct inhaler technique, avoiding swallowing the water after mouth rinsing, and a spacer device are recommended to reduce esophageal corticosteroid exposure.

Identifiants

pubmed: 32309511
doi: 10.14309/crj.0000000000000321
pii: ACGCR-19-0501
pmc: PMC7145182
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e00321

Informations de copyright

© 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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Auteurs

Sher N Baig (SN)

Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.

Sadia Rehman (S)

Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.

Mina Daniel (M)

Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.

Vrushak Deshpande (V)

Division of Gastroenterology, Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.
Division of Gastroenterology, New York Presbyterian-Brooklyn Methodist Hospital, New York, NY.

George Abdelsayed (G)

Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.

Manuel Gonzalez (M)

Division of Gastroenterology, Department of Internal Medicine, Richmond University Medical Center, Staten Island, NY.

Classifications MeSH