Clindamycin-induced hypopharyngeal injury - 23/08/11
Doi : 10.1016/j.gie.2007.11.022
Lawrence J. Brandt, MD, Editor, At the Focal Point Section
| Commentary |
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| Did this patient have globus or dysphagia or both? Globus, or spheresthesia, is the sensation of a ball, lump, or foreign body in the throat or neck, as if the throat was being compressed, but there typically is neither actual obstruction nor true difficulty in swallowing; however, this patient could not handle his secretions. Clearly, the imaged bulla partially obstructed the pharyngeal aditus and likely caused the sensation of globus, pain, and dysphagia. Usually, investigations of the oropharynx are negative (although there may be an associated esophageal dysmotility), and “hystericus” follows as a qualifying descriptor; in this case, the etiology of his symptoms seems quite clear (clindamycin), and the putative lesion (bulla) was demonstrated beautifully; it brought a lump to my throat—probably hystericus. |
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| Lawrence J. Brandt, MD |
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| Associate Editor for Focal Points |
© 2008
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 67 - N° 6
P. 970 - mai 2008 Retour au numéro
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