Herpes simplex oesophagitis
Nabilah AHMAD 1, Zulhairi AHMAD 1, Edwin LIM Chye Chuan 2, Pemasari Upali TELISINGHE 2, Vui Heng CHONG 1, 3
1 Department of Medicine, 2 Department of Pathology, RIPAS Hospital, and 3 PAPRSB, Insitute of Health Science, Universiti of Brunei Darussalam, Brunei Darussalam
ABSTRACT
Herpes simplex oesophagitis (HSO) is uncommon and commonly occur in immunocompromised patients. Presentations can be nonspecific and endoscopic findings range from diffuse ulceration to localised oesophagitis commonly affecting the distal oesophagus. We report four cases of histologically proven HSO that we have encountered over the years in practice where the Human Immune-deficiency virus (HIV) infection is still uncommon. As the diagnosis requires histological confirmation, and given that the manifestations are variable from oesophagitis to ulcerations, the actual incidence may be underestimated as some cases are not biopsied.
Keywords: Oesophagitis, odynophagia, dysphagia, Herpes Simplex Virus
Correspondence author: Vui Heng CHONG, Department of Medicine, RIPAS Hospital, Jalan Tutong, Bandar Seri Begawan BA 1710, Brunei Darussalam.
Tel: +673 2242424 Ext 5233 E mail: chongvuih@yahoo.co.uk
Brunei Int Med J. 2015; 11 (5): 252-256