Atypical manifestation of herpes esophagitis in an immunocompetent patient: Case report and literature review

Figure 1 Diffuse ulcerations in the mid esophagus with inflammatory exudate, severe esophagitis 32-42 cm in esophagus.

Figure 2 Endoscopic appearance of shallow base ulcers with evidence of erosions and superficial bleeding of the esophagus.

Figure 3 Hematoxylin and Eosin stain showing squamous cells with viral cytopathic effects of herpes simplex virus 1 and 2 - cowdry type A inclusion body- which includes multinucleation, margination of chromatin and molding of nuclei.

Figure 4 Immunohistochemistry stain for herpes simplex virus 1 and 2 shows the involved nuclei as staining brown for herpes simplex virus viral particles.