A severe case of ulcerative esophagitis in an immunocompetent host

摘要

A 19-year old woman presented to the emergency department of our hospital with a four-day history of severe epigastric pain without nausea, vomiting of postprandial symptom exacerbation. She had no relevant past medical history. Two days later she developed painful oral aphtosis, severe odynophagia and fever. Her general practitioner prescribed pain medication and proton pump inhibitors. However, the fever persisted and her pain increased to debilitating levels.Gastroduodenoscopy showed the following picture (Figure 1-2).