Serviços Personalizados
Journal
Artigo
Indicadores
- Citado por SciELO
- Acessos
Links relacionados
- Similares em SciELO
Compartilhar
Jornal Português de Gastrenterologia
versão impressa ISSN 0872-8178
J Port Gastrenterol. v.14 n.3 Lisboa maio 2007
Esófago Negro Associado a Infecção por Candida Albicans, Aspergillus e Actinomyces
S. Ferreira1, I. Claro1, R. Sousa1, E. Vitorino2, P. Lage1, P. Chaves2, A. Fernandes3, C. Nobre Leitão1
Resumo
O esófago negro, ou esofagite necrosante aguda, é uma entidade rara, diagnosticada durante a realização de endoscopia digestiva alta. A sua etiologia não se encontra completamente esclarecida, assumindo--se que será provavelmente multifactorial. Os autores descrevem o primeiro caso de esófago negro associado a infecção por Candida albicans, Aspergillus e Actinomyces, num doente imunodeprimido por doença oncológica, com um quadro de vómitos persistentes. Discutem-se ainda os aspectos etiopatogénicos e as implicações clínicas dos aspectos endoscópicos e histopatológicos.
Summary
Black esophagus, or acute necrotizing esophagitis, is a rare condition detected by upper endoscopy. Its exact etiology still remains unknown but is most likely multifactorial. The authors report, for the first time, a case of black esophagus associated with Candida albicans, Aspergillus and Actinomyces esophagitis, occurring in an immunosuppressed cancer patient with prolonged vomiting. Etiopathogenesis and clinical implications of the endoscopic and histopathological findings are also discussed.
Texto Completo disponível apenas em PDF
Full text only available in PDF format
BIBLIOGRAFIA
1. Ben Soussan E, Savoye G, Hochain P, Hervé S, Antonietti M, Lemoine F, et al. Acute esophageal necrosis: a 1-year prospective study. Gastrointest Endosc 2002; 56:213-217. [ Links ]
2. Lacy BE, Toor A, Bensen SP, Rothstein RI, Maheshwari Y. Acute esophageal necrosis: report of two cases and review of the literature. Gastrointest Endosc 1999; 49:527-532.
3. Katsinelos P, Pilpilidis I, Dimiropoulos S, Paroutoglon G, Kamperis E, Tsolkas P, et al. Black esophagus induced by severe vomiting in a healthy young man. Surg Endosc 2003; 17:521. Epub 2002 Dec 20.
4. Augusto F, Fernandes V, Cremers MI, Oliveira AP, Lobato C, Alves AL, et al. Acute necrotizing esophagitis: a large retrospective case series. Endoscopy 2004; 36:411-415.
5. Khan AM, Hundal R, Ramaswamy V, Korsten M, Dhuper S: Acute esophageal necrosis and liver pathology, a rare combination. World J Gastroenterology 2004; 10:2457-2458.
6. Geller A, Aguilar H, Burgart L, Gostout CJ. The black esophagus. Am J Gastroenterology 1995; 90:2210-2212.
7. Goldenberg SP, Wain SL, Marignani P. Acute necrotizing esophagitis. Gastroenterology 1990; 98:493-496.
8. Cattan P, Cuillerier E, Cellier C, Carnot F, Landi B, Dusoleil A, et al. Black esophagus associated with Herpes esophagitis. Gastrointest Endosc 1999; 49:105-107.
9. Benitez Roldan A, Lopez-Cepero Andrada J, Amaya Vidal A, Castro Aguilar-Tablada T, Ruiz Campos JL. Acute necrotizing esophagitis. Gastroenterol Hepatol 2000; 23:79-81. (In Spanish with English abstract)
10. Mangan TF, Colley AT, Wytock DH. Antibiotic-associated acute necrotizing esophagitis (letter). Gastroenterology 1990; 99:900.
11. Sharma SS, Venkateswaran S, Chacko A, Mathan M. Melanosis of the esophagus. An endoscopic, histochemical, and ultrastructural study. Gastroenterology 1991; 100:13-16.
12. Kimball MW. Pseudomelanosis of the esophagus. Gastrointest Endosc 1978; 24:121-122.
13. Baffy G, Strate LL, Krinsky ML. Image of the month. Adherent, yellow exsudate speckel with black spots in the distal two thirds of the esophagus. Diagnosis. This distinctive image shows an acute necrotizing esophagitis, also known as the black esophagus. Gastroenterology 2000; 118:252,453.
14. Katsinelos P, Christodoulou K, Pilpilidis I, Papagiannis A, Xiarchos P, Tsolkas P, et al. Black esophagus: an unusual finding during routine endoscopy. Endoscopy 2001; 33:904.
15. Haviv YS, Reinus C, Zimmerman J. "Black esophagus": a rare complication of shock. Am J Gastroenterol 1996; 9:2432-2434.
16. Benoit R, Grobost O. Black esophagus related to acute esophageal necrosis: a new case. Presse Med 1999; 28:1509-1512. (In French with English abstract)
17. Minatoya K, Okita Y, Tagusari O, Imakita M, Yutani C, Kitamura S. Transmural necrosis of the esophagus secondary to acute aortic dissection. Ann Thorac Surg 2000; 69:1584-1586.
18. Hoffman M, Bash E, Berger SA, Burke M, Yust I. Fatal necrotizing esophagitis due to Penicillium chrisogenum. Eur J Clin Microbiol Infect Dis 1992; 11:1158-1160.
19. Bergman S, Geisinger KR. Esophageal aspergillosis in cytologic brushings: report of two cases associated with acute myelogenous leukemia. Diagn Cytopathol 2004; 30:347-349.
20. Smego RA Jr, Foglia G. Actinomycosis. Clin Infect Dis 1998; 26: 1255-1263.
21. Yagi T, Fujino H, Hirai M, Inoue T, Sako M, Teshima H, et al. Esophageal actinomycosis after allogenic peripheral blood stem cell transplantation for extranodal natural killer/Tcell lymphoma, nasal
type. Bone Marrow Transplant 2003; 32:451-453.
22. Arora AK, Nord J, Olofinlade O, Javours B. Esophageal actinomycosis: a case report and review of the literature. Dysphagia 2003; 18:27-31.
(1) Serviço de Gastrenterologia.
(2) Serviço de Anatomia Patológica.
(3) Serviço de Oncologia Médica.
Instituto Português de Oncologia de Lisboa de Francisco Gentil, E.P.E., Lisboa, Portugal.
Correspondência:
Sara Ferreira
Serviço de Gastrenterologia
Instituto Português de Oncologia de Lisboa de Francisco Gentil, E.P.E.
Rua Professor Lima Basto
1099-23 Lisboa
Tlm.: 938836991
Fax: 217229855
Recebido para publicação: 22/11/2006
Aceite para publicação: 13/02/2007