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-...

Descripción completa

Detalles Bibliográficos
Autores principales: Rahim, Farrah, Kapliyil Subramanian, Sruthi, Larson, Scott
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