Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient
Acute esophageal necrosis (AEN) is a rare endoscopic finding associated with ischemic compromise of the distal esophagus. This finding can be seen in critically ill patients with COVID-19 infection. We present a case of a COVID-19-vaccinated elderly male with multiple comorbidities and active COVID-...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929661/ https://www.ncbi.nlm.nih.gov/pubmed/35340516 http://dx.doi.org/10.7759/cureus.22241 |
_version_ | 1784670908914335744 |
---|---|
author | Rahim, Farrah Kapliyil Subramanian, Sruthi Larson, Scott |
author_facet | Rahim, Farrah Kapliyil Subramanian, Sruthi Larson, Scott |
author_sort | Rahim, Farrah |
collection | PubMed |
description | Acute esophageal necrosis (AEN) is a rare endoscopic finding associated with ischemic compromise of the distal esophagus. This finding can be seen in critically ill patients with COVID-19 infection. We present a case of a COVID-19-vaccinated elderly male with multiple comorbidities and active COVID-19 pneumonia admitted to the intensive care unit with septic shock and acute hypoxemic respiratory failure. The patient developed melena, and esophagogastroduodenoscopy (EGD) was performed, which showed necrosis of the lower esophagus suggestive of AEN. AEN has been associated with high mortality and should be considered when evaluating upper gastrointestinal bleed in a critically ill patient. This case describes the first report of isolated AEN in a patient fully vaccinated against COVID-19 presenting with a severe complicated COVID-19 infection. |
format | Online Article Text |
id | pubmed-8929661 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-89296612022-03-24 Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient Rahim, Farrah Kapliyil Subramanian, Sruthi Larson, Scott Cureus Gastroenterology Acute esophageal necrosis (AEN) is a rare endoscopic finding associated with ischemic compromise of the distal esophagus. This finding can be seen in critically ill patients with COVID-19 infection. We present a case of a COVID-19-vaccinated elderly male with multiple comorbidities and active COVID-19 pneumonia admitted to the intensive care unit with septic shock and acute hypoxemic respiratory failure. The patient developed melena, and esophagogastroduodenoscopy (EGD) was performed, which showed necrosis of the lower esophagus suggestive of AEN. AEN has been associated with high mortality and should be considered when evaluating upper gastrointestinal bleed in a critically ill patient. This case describes the first report of isolated AEN in a patient fully vaccinated against COVID-19 presenting with a severe complicated COVID-19 infection. Cureus 2022-02-15 /pmc/articles/PMC8929661/ /pubmed/35340516 http://dx.doi.org/10.7759/cureus.22241 Text en Copyright © 2022, Rahim et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Rahim, Farrah Kapliyil Subramanian, Sruthi Larson, Scott Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient |
title | Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient |
title_full | Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient |
title_fullStr | Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient |
title_full_unstemmed | Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient |
title_short | Case Report of Acute Esophageal Necrosis (Gurvits Syndrome) in Vaccinated, COVID-19-Infected Patient |
title_sort | case report of acute esophageal necrosis (gurvits syndrome) in vaccinated, covid-19-infected patient |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8929661/ https://www.ncbi.nlm.nih.gov/pubmed/35340516 http://dx.doi.org/10.7759/cureus.22241 |
work_keys_str_mv | AT rahimfarrah casereportofacuteesophagealnecrosisgurvitssyndromeinvaccinatedcovid19infectedpatient AT kapliyilsubramaniansruthi casereportofacuteesophagealnecrosisgurvitssyndromeinvaccinatedcovid19infectedpatient AT larsonscott casereportofacuteesophagealnecrosisgurvitssyndromeinvaccinatedcovid19infectedpatient |