Men CJ, Singh SK, Zhang GL, Wang Y, Liu CW. Acute suppurative oesophagitis with fever and cough: A case report. World J Clin Cases 2020; 8(15): 3341-3348 [PMID: 32874991 DOI: 10.12998/wjcc.v8.i15.3341]
Corresponding Author of This Article
Guo-Liang Zhang, MD, PhD, Professor, Chief Consultant Physician, Department of Gastroenterology, Tianjin First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin 300192, China. zhgl_022@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 6, 2020; 8(15): 3341-3348 Published online Aug 6, 2020. doi: 10.12998/wjcc.v8.i15.3341
Acute suppurative oesophagitis with fever and cough: A case report
Chang-Jun Men, Shashank Kumar Singh, Guo-Liang Zhang, Ye Wang, Cong-Wei Liu
Chang-Jun Men, Shashank Kumar Singh, Guo-Liang Zhang, Ye Wang, Cong-Wei Liu, Department of Gastroenterology, Tianjin First Central Hospital, Tianjin 300192, China
Author contributions: All authors were involved in the care of the patient. Men CJ drafted the manuscript and substantively revised it; Singh SK and Zhang GL substantively revised the manuscript; Liu CW and Wang Y completed the endoscopic operation; all authors have read and approved the final manuscript.
Supported bythe Fund of Spring Wind Plan of Tianjin First Central Hospital, No. TFCHCF201814.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Guo-Liang Zhang, MD, PhD, Professor, Chief Consultant Physician, Department of Gastroenterology, Tianjin First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin 300192, China. zhgl_022@163.com
Received: March 18, 2020 Peer-review started: March 18, 2020 First decision: June 15, 2020 Revised: June 28, 2020 Accepted: July 15, 2020 Article in press: July 15, 2020 Published online: August 6, 2020 Processing time: 140 Days and 18.6 Hours
Abstract
BACKGROUND
Suppurative oesophagitis is a diffuse inflammation of the oesophagus characterized by suppurative exudate or pus formation. Suppurative infections can affect any part of the gastrointestinal tract, most commonly the stomach, with inflammation involving the entire gastric cavity. However, cases extending beyond the cardia or pylorus and involving the oesophagus, small intestine, and colon are rare. Usually such cases are discovered during surgery or autopsy.
CASE SUMMARY
We report a rare case of acute suppurative oesophagitis. A 57-year-old man presented at the Emergency Department of our hospital with fever and productive cough. The patient had a significant history of lower oesophageal mucosal frostbite. He was successfully diagnosed and treated with repeated gastroscopy, appropriate antibiotics, and innovative symptomatic treatment.
CONCLUSION
Early diagnosis and appropriate treatment of acute suppurative oesophagitis are critical. Nutritional support, postural drainage, and other symptomatic treatments must be considered.
Core tip: This case report details a particularly interesting and rare case of acute suppurative oesophagitis that developed secondary to suspected mucosal frostbite in the oesophagus. A 57-year-old man, with a significant history of lower oesophageal mucosal frostbite, presented with fever and productive cough. He was successfully diagnosed and treated with repeated gastroscopy, appropriate antibiotics, and innovative symptomatic treatment. We believe that our study makes a significant contribution to the literature as, to our knowledge, this is the first report of oesophageal frostbite predisposing a patient to acute suppurative oesophagitis.
