Abstract
Herpes simplex virus is an uncommon cause of esophagitis and particularly so in immunocompetent individuals. Although the common presentation tends to be odynophagia and/or dysphagia, fever, and retrosternal chest pain, there are variations and rarely it can present more ominously as esophageal rupture. We report a rare case of esophageal perforation with penetration into the vertebral space secondary to chronic herpes simplex virus esophagitis in a 71-year-old immunocompetent woman. This is the second known such occurrence. The patient had a long stay in the hospital but recovered from the condition and was followed up for 1 year after initial presentation.
Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Aged
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Bronchial Fistula / diagnostic imaging
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Bronchial Fistula / etiology
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Bronchial Fistula / surgery
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Chronic Disease
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Endoscopy, Digestive System
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Esophageal Fistula / diagnostic imaging
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Esophageal Fistula / etiology
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Esophageal Fistula / surgery
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Esophageal Perforation / diagnostic imaging
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Esophageal Perforation / etiology*
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Esophageal Perforation / surgery*
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Esophagitis / complications*
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Esophagitis / diagnostic imaging
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Esophagitis / surgery*
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Extravasation of Diagnostic and Therapeutic Materials / diagnostic imaging
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Extravasation of Diagnostic and Therapeutic Materials / etiology
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Extravasation of Diagnostic and Therapeutic Materials / surgery
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Female
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Follow-Up Studies
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Herpes Simplex / complications*
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Herpes Simplex / diagnostic imaging
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Herpes Simplex / surgery*
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Humans
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Length of Stay
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Stents
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Thoracic Vertebrae / diagnostic imaging
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Tomography, X-Ray Computed