The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Esophageal Actinomycosis in a Patient with Diabetes Mellitus

당뇨병 환자에서 발생한 식도 방선균증 1예

  • Gu, Dong-Yeong (Department of Internal Medicine, Dongeui Medical Center) ;
  • Roh, Ji-Hun (Department of Internal Medicine, Dongeui Medical Center) ;
  • Lim, Dae-Gwan (Department of Internal Medicine, Saebusan Hospital) ;
  • Jo, Yeong-Hwa (Department of Internal Medicine, Dongeui Medical Center) ;
  • Yu, Jae-Hoon (Department of Internal Medicine, Dongeui Medical Center) ;
  • Yoon, Jun-Mo (Department of Internal Medicine, Dongeui Medical Center) ;
  • Kim, Gi-Su (Department of Internal Medicine, Dongeui Medical Center)
  • Published : 2012.05.01
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Abstract

A 47-year-old patient with diabetes mellitus was admitted with the complaints of sore throat and dysphagia. We performed an esophagogastroduodenoscopy and found esophageal ulcers. Histological examination of the esophageal biopsy revealed sulphur granules, and immunological findings ruled out viral infection. Thus, we diagnosed an isolated actinomycotic infection of the esophagus and treated the infection with oral amoxicillin. This case illustrates that actinomycotic infection of the esophagus can occur in immunocompetent patients. Therefore, when evaluating dysphagia, the probability of actinomycotic infection must be considered not only in immunocompromised patients, but in immunocompetent individualswith diabetes mellitus.

저자들은 연하통을 주증상으로 내원한 당뇨병만 있을 뿐 특별한 면역결핍의 근거가 없는 47세 남자 환자에서 시행된 상부위장관 내시경 검사와 조직검사에서 식도 방선균증을 확인하였으며, 경구 항생제 치료와 내시경적 추적관찰만으로 치료된 드문 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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