Publication: Esophageal Actinomycosis in an Immunocompetent Patient Mimicking Carcinoma: A Case Report
Date
2022
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 559 - 561
Publisher
Nepal Medical Association
Abstract
Abstract
Esophageal actinomycosis is a rare occurrence that presents a diagnostic challenge due to its vague clinical picture. The common symptoms include dysphagia, odynophagia and epigastric pain. These symptoms, although alarming, are usually non-specific. In this report, we describe an immunocompetent 38-year-old woman who presented with dysphagia and burning chest pain. Her initial examination and investigations suggested carcinoma of the oesophagus. On further evaluation and histopathology examination, she was diagnosed with esophageal actinomycosis and managed with antibiotics and symptomatic relief. She had significant improvement on follow up examination. The diagnosis of this condition in an immunocompetent patient can be confusing and requires a high degree of suspicion.
Description
Shekhar Poudel
Department of Gastroenterology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
Abhin Sapkota
Vayodha Hospitals Private Limited, Balkhu, Kathmandu, Nepal
https://orcid.org/0000-0002-4146-7016
Rahul Devkota
Department of Gastroenterology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0001-5843-6593
Sujan Chandra Poudel
Department of Gastroenterology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0003-1550-3885
Angel Dangol
Department of Gastroenterology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
https://orcid.org/0000-0001-9291-0869
Keywords
Actinomycosis, Carcinoma, Case reports, Esophagus
Identifier
https://doi.org/10.31729/jnma.7354