Esophageal Actinomycosis Presenting as an Obstructive Esophageal Mass

Ali Alshati; Leslie Appleton; Jacob T Maddux; Mays Almohammedawi; Benjamin Dangerfield

doi:10.14309/crj.0000000000000140

Esophageal Actinomycosis Presenting as an Obstructive Esophageal Mass

ACG Case Rep J. 2019 Jul 23;6(7):e00140. doi: 10.14309/crj.0000000000000140. eCollection 2019 Jul.

Authors

Ali Alshati¹, Leslie Appleton², Jacob T Maddux³, Mays Almohammedawi⁴, Benjamin Dangerfield³

Affiliations

¹ Department of Internal Medicine, Creighton University School of Medicine, Maricopa Medical Center, Phoenix, AZ.
² Department of Internal Medicine, College of Medicine, University of Arizona, Phoenix, AZ.
³ Department of Internal Medicine, Mayo Clinic School of Medicine, Phoenix, AZ.
⁴ Department of Medicine, Baghdad University, College of Medicine, Baghdad, Iraq.

Abstract

Esophageal actinomycosis is a rare type of esophageal infection, with only approximately 24 cases previously reported in the United States. Most of these cases were described as erosions or ulcers when examined endoscopically. We present a 47-year-old woman who presented with dysphagia. Endoscopy showed a lower esophageal fungating mass, mimicking a malignant mass. Although there was a high suspicion of esophageal carcinoma, biopsy results showed esophageal actinomyces infection.

Publication types

Case Reports