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Esophagitis Due to Actinomycosis in an Immunocompetent Patient with a History of SARS-Cov-2 Infection: Case Report
General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, México
Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México
Gastrointestinal Endoscopy Unit, Puerta de Hierro Hospital, Tepic, México
- 1 General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, México
- 2 Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, México
- 3 Gastrointestinal Endoscopy Unit, Puerta de Hierro Hospital, Tepic, México
Open Journal of Gastroenterology·Volume 13 (2023)·Pages 313–318·Published 25 October 2023·DOI10.4236/ojgas.2023.1310028
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Abstract
We present an unusual case of esophageal actinomycosis that developed in a patient with normal immunity and a history of acute SARS-CoV-2 infection. We report a case of a 56-year-old female patient without chronic degenerative pathologies with a history of non-severe acute SARS-CoV-2 infection that occurred two months prior to her presentation, treated with prednisone and betamethasone orally and inhaled, respectively for 21 days. The pivotal symptom is dysphagia and definitive diagnosis requires a tissue culture of the affected organ or a biopsy that shows the classic sulfur granules. Currently, antibiotic treatment with beta-lactams, such as amoxicillin/clavulanic acid, is still effective, as it was in our patient.
KeywordsActinomycesActinomycosisEsophagitisSARS-CoV-2Immunocompetent
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