Herpes genitalis

Herpes esophagitis is a medical condition characterized by the inflammation of the esophagus due to a herpes simplex virus infection. It is a rare but serious condition that can occur in both immunocompromised and immunocompetent individuals.

Etiology

Herpes esophagitis is primarily caused by the herpes simplex virus, specifically HSV-1 and, less commonly, HSV-2. The virus is typically transmitted through direct contact with infected saliva, genital secretions, or skin lesions.

Clinical Presentation

Patients with herpes esophagitis often present with symptoms such as odynophagia (painful swallowing), dysphagia (difficulty swallowing), and retrosternal chest pain. Other symptoms may include fever, malaise, and weight loss due to reduced food intake.

Diagnosis

Diagnosis of herpes esophagitis is typically confirmed through endoscopy, where characteristic ulcerations can be observed. Biopsy of the esophageal tissue and subsequent histopathology can also be used to confirm the presence of the herpes simplex virus.

Treatment

Treatment for herpes esophagitis primarily involves antiviral therapy with medications such as acyclovir, famciclovir, or valacyclovir. In severe cases, hospitalization and intravenous antiviral therapy may be required.

Prognosis

With appropriate treatment, the prognosis for herpes esophagitis is generally good. However, complications can occur, including esophageal stricture and esophageal perforation, which can be life-threatening.

See Also

• Herpes simplex virus
• Esophagitis
• Herpesviral encephalitis
• Herpetic whitlow
• Herpes gladiatorum