Cite this page: Weisenberg, E. Bacterial esophagitis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/esophagusbacterialesophagitis.html. Accessed May 23rd, 2019.
Definition / general
- Associated with immunocompromise (Arch Intern Med 1986;146:1345, Dig Dis Sci 1995;40:183), Chagas disease (J Gastrointest Surg 2007;11:199), reflux esophagitis (some bacteria are similar to normal flora, World J Gastroenterol 2005;11:7277), Barrett esophagus (possibly, Dig Dis Sci 2004;49:228)
- Phlegmonous esophagitis: rare; due to suppurative bacterial infection; high mortality; most common pathogens are Streptococcus, Staphylococcus, Escherichia coli, Hemophilus influenzae, Proteus, Clostridium
- Necrotizing infectious esophagitis also has high mortality, due to sepsis (Ann Thorac Surg 2003;75:342)
Microscopic (histologic) description
- Clusters of bacteria invade esophageal wall and blood vessels; may be epithelial necrosis