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Case Reports
. 2021 Apr;28(3):225-226.
doi: 10.1159/000510580. Epub 2020 Oct 12.

Azithromycin-Induced Pill Esophagitis

Affiliations
Case Reports

Azithromycin-Induced Pill Esophagitis

Vincent Zimmer et al. GE Port J Gastroenterol. 2021 Apr.
No abstract available

Keywords: Chest pain; Dysphagia; Esophageal ulcer; Pill esophagitis.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
a Esophagogastroduodenoscopy (EGD) demonstrating esophageal ulcers with an estimated maximum size of 8 mm and slightly raised borders. Note that all esophageal mucosal injury lesions are located at the same height within the esophagus at 27 cm from the incisors (most likely representing physiological narrowing due to the left main bronchus). b, c Biopsies from the ulcer bed and rim indicate bland ulceration with a dense inflammatory infiltrate and epithelial edema (H&E. ×5, ×10, respectively). In addition, there is no evidence for viral esophagitis as substantiated by negative herpes simplex virus type 1 and cytomegalovirus immunohistochemistry (not shown). d Complete ulcer healing on repeat EGD 14 days later.

References

    1. Grochenig HP, Tilg H, Vogetseder W. Clinical challenges and images in GI. Pill esophagitis Gastroenterology. 2006;131(996):1365. - PubMed
    1. Akyuz U, Erzin Y, Yalniz FF, Senkal IV, Ekici ID, Pata C. Severe odynophagia in a patient developing after azithromycin intake: a case report. Cases J. 2010 Feb;3((1)):48. - PMC - PubMed
    1. Kikendall JW. Pill-induced esophagitis. Gastroenterol Hepatol (N Y) 2007 Apr;3((4)):275–6. - PMC - PubMed

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