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Actinomycosis of the esophagus
Medical expert of the article
Last reviewed: 23.04.2024
Actinomycosis of the esophagus is a rare disease, the occurrence of which is possible only if the mucosa of the esophagus is damaged and the infected agents stay in it. There are primary and secondary forms of actinomycosis of the esophagus. Primary lesions occur with minor damage to the mucous membrane. Secondary lesions occur from an adjacent foci, for example located in the pharynx.
Pathologically the disease manifests itself in an extensively growing tumor that affects all tissues on its way and gives secondary foci to the lungs, liver, other organs of the abdominal cavity and to other anatomical regions.
[Symptoms of actinomycosis of the esophagus
The onset of the disease should be described as insidious. The disease is detected when there are significant lesions of the esophagus, accompanied by pain and dysphagia. Sometimes spotted mucus shows bloody discharge, and when microscopy of discharge is actinomycetes. Clinically, the disease is very difficult and, as a rule, ends with death.
Where does it hurt?
What do need to examine?
Treatment of actinomycosis of the esophagus
Treatment of actinomycosis of the esophagus is divided into local and general. Local treatment is ineffective, especially with a common form. Apply diathermocoagulation, X-ray therapy. At the general or common treatment appoint macro-and microcells (potassium iodidum), penicillips (benzilnenitsillin, phenoxymethylpenicillin), antimicrobial agents in combinations (co-trimoxazole), tetracyclines (doxycycline, metacyclin).
Prognosis for actinomycosis of the esophagus
The prognosis is serious, since actinomycosis of the esophagus is fraught with complications associated with the defeat of the mediastinum and the organs of the breast.