[Acute necrotizing esophagitis].
Acute necrotizing esophagitis is a rare disease. Its pathogenesis is influenced by situations of low systemic perfusion, such as hypertension, heart failure or sepsis, in which other factors, such as the application of a nasal tube, infections or drugs also play a role. We present a case of acute necrotizing esophagitis in a patient with copious vomiting, renal failure, gastric hemorrhage due to Mallory-Weiss syndrome and esophageal infection due to Actinomyces. The patient was undergoing coadjuvant chemotherapy for a surgically-treated colonic neoplasia. Maintenance therapy produced favorable evolution with restoration of esophageal epithelium and no stenotic complications.
Benítez Roldán
A
A
Sección de Aparato Digestivo, Hospital del SAS de Jerez de la Frontera, Cádiz.
López-Cepero Andrada
J
J
Amaya Vidal
A
A
Castro Aguilar-Tablada
T
T
Ruiz Campos
J L
JL
D000208:Acute Disease; D000230:Adenocarcinoma / Q000150:complications / Q000628:therapy; D000328:Adult; D003131:Combined Modality Therapy; D004941:Esophagitis / Q000175:diagnosis* / Q000628:therapy; D004947:Esophagus / Q000473:pathology; D006801:Humans; D008297:Male; D009336:Necrosis; D012811:Sigmoid Neoplasms / Q000150:complications / Q000628:therapy