A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae

Authors

Lekha Yadukumar
Hunain Aslam
Khalid Ahmed
Peter Iskander
Khadijah Sajid
Omar D. Syed
Mark M. Aloysius
Simin Nasr
Vikas Khurana

Document Type

Article

Abstract

Acute esophageal necrosis is a rare condition; visualization of necrosis on esophagoduodenoscopy can help establish the diagnosis. Due to variations in blood supply, there is a higher propensity for ischemic episodes to occur along the lower esophagus; these can be of particular importance during times of hypotension. Underlying infections and atherosclerosis can further exacerbate blood supply leading to ischemia in these watershed zones. We present a case of a patient with Klebsiella pneumonia who was found to have “coffee-ground” output on nasogastric tube suctioning. Esophagoduodenoscopy was performed, which showed evidence of circumferential esophageal necrosis. Unfortunately, despite antibiotic and vasopressor support, the patient ultimately passed away.

First Page

827

Last Page

829

DOI

10.1016/j.gastha.2023.04.002

Publication Date

1-1-2023

Recommended Citation

Yadukumar L, Aslam H, Ahmed K, Iskander P, Sajid K, Syed O, Aloysius MM, Nasr S, Khurana V. A Rare Case of Acute Esophageal Necrosis Precipitated by Klebsiella Pneumoniae. Gastro Hep Advances. 2023 Jan 1;2(6):827-9.