Sepsis and hepatitis caused by Herpes Simplex esophagitis in an immunocompetent adult
M Dobra, L Tiszlavicz, T Wittmann, L Czakó · Zeitschrift für Gastroenterologie · 2011 · Heft 05
Bibliografische Angaben
Zusammenfassung
Introduction: The differenzial diagnosis of fever is generally laborious. We present a case in which the etiology of fever was revealed by endoscopy and histology. Patient: A 55-year-old male, a veterinary researcher working on mice, presented with a 4-day history of fever, dysphagia, odynophagia, vomiting and black stools. The past history included plastic surgery of the mitral valves and hepatitis of unknown etiology in the 1990s. He denied abuse of tobacco or alcohol. His temperature was 39°C; but the physical examination was otherwise unremarkable. Blood investigations revealed elevated liver necroenzymes, a…