Synonyms
Human herpesvirus four esophagitis
Definition
Epstein-Barr virus (EBV) esophagitis is a form of esophagitis caused by herpesvirus in immunocompetent or immunocompromised patients.
EBV is a ubiquitous virus that infects and establishes a persistent infection in the host. Clinically, it causes two types of infection: the primary infection, which ranges from a mild self-limited illness in children to infectious mononucleosis in adolescents and adults, and the reactivation of latent infection in immunocompromised patients (Gesser 1997). EBV replicates and is shed periodically from epithelial cells in the oropharynx or from salivary glands and persists through interactions with two different host cell types: epithelial cells at the surface of the body that are fully permissive for the production of infectious virus and serve to transmit the virus from person to person and cells situated deeper in the body that generally are nonpermissive and function as a reservoir of latent virus.
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References and Further Reading
Gesser, R. M. (1997). The role of latency in herpesvirus infections. Seminars in Pediatric Infectious Diseases, 8(3), 128–135.
Gulley, M. L. (2001). Molecular diagnosis of Epstein-Barr virus-related diseases. The Journal of Molecular Diagnostics, 3(1), 1–10.
Kitchen, V. S., Helbert, M., Francis, N. D., Logan, R. P. H., et al. (1990). Epstein-Barr virus associated oesophageal ulcers in AIDS. Gut, 31, 1223–1225.
Pape, M., Mandraveli, K., Sidiropoulos, I., et al. (2009). Unusual Epstein-Barr esophageal infection in an immunocompetent patient: A case report. Journal of Medical Case Reports, 3, 7314.
Pattengale, P. K., Smith, R. W., & Gerber, P. (1973). Selective transformation of B lymphocytes by EB virus. Lancet, ii, 93–94.
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Nunes, P.B. (2017). Epstein-Barr Virus (EBV), Esophagitis. In: Carneiro, F., Chaves, P., Ensari, A. (eds) Pathology of the Gastrointestinal Tract. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-40560-5_1589
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DOI: https://doi.org/10.1007/978-3-319-40560-5_1589
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