A case of esophageal actinomycosis with a unique morphology presenting as a refractory ulcer

Sho Fukuda, Noboru Watanabe, Takahiro Domen, Mitsuaki Ishioka, Masayuki Sawaguchi, Reina Ohba, Hisashi Shiga, Tamotsu Matsuhashi, Mario Jin, Katsunori Iijima

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 60-year-old man presented with odynophagia after bronchial artery infusion chemotherapy for pulmonary metastasis of hepatocellular carcinoma. Esophagogastroduodenoscopy (EGD) revealed an esophageal ulcer in the middle thoracic esophagus. An esophageal biopsy demonstrated no malignancy. However, the symptoms had not improved after a month. EGD was performed again and showed a white cord lump at the bottom of the same esophageal ulcer identified before, showing no improving tendency. A repeated biopsy of the lump revealed actinomycosis, and the symptoms were improved by the oral administration of ampicillin. We herein report a case in which esophageal actinomycosis with a unique morphology of refractory esophageal ulcer was rapidly improved by the administration of antibiotics.

Original languageEnglish
Pages (from-to)38-41
Number of pages4
JournalClinical Journal of Gastroenterology
Volume11
Issue number1
DOIs
Publication statusPublished - 2018 Feb 1
Externally publishedYes

Keywords

  • Esophageal actinomycosis
  • Esophageal ulcer
  • Refractory ulcer

ASJC Scopus subject areas

  • Gastroenterology

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