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KMID : 0614620230820030137
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Korean Journal of Gastroenterology
2023 Volume.82 No. 3 p.137 ~ p.139
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Case of Esophageal Actinomycosis Occurred after Endoscopic Mucosal Resection for Subepithelial Tumor
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Hang T.T. Nguyen
Cho Jin-Woong
Kim Sang-Gyeun
Tuyen Thanh Hoang
Jung Gum-Mo
Cho Bong-Ju
Ju Myoung-Jin
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Abstract
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Esophageal actinomycosis is a rare, chronic granulomatous disease caused by Actinomyces species. Endoscopy and biopsy are essential for making a diagnosis. This paper reports a case of esophageal actinomycosis that developed after an endoscopic mucosal resection (EMR) for a subepithelial tumor (SET). A 74-year-old male patient had a 3 cm flat, smooth elevation in the esophagus without symptoms. The SET was partially resected, and histology revealed “nonspecific degenerated mesenchymal tissue”. Three months later, the patient exhibited a persistently large ulceration at the EMR site, and a biopsy revealed actinomycosis. CT of the chest and abdomen revealed no abnormal findings. Ampicillin treatment was administered for six months, and the ulceration on the esophageal SET improved.
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KEYWORD
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Esophageal actinomycosis, Endoscopic mucosal resection
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