PMC2740326_01
(a) Endoscopic (b) and histological ((c) [x100], (d) [600x]) appearance.
DTE2009-717183.001.jpg
PMC2740326_01_DTE2009-717183.001.jpg
fig1
Esophagogastroduodenoscopy (EGD) was performed and revealed small erosion (6 mm) in the distal esophagus (Figures 1(a)  and 1(b)). Histopathology from the esophageal biopsy specimens was consistent acute, severe inflammation, multinucleated giant cells with nuclear molding and nuclear chromatin with a groundglass appearance, findings characteristic of herpes virus infection (Papanicolaou's stain, orig. mag. x100 and x600), typical of HSV type 1 infection (Figures 1(c)  and 1(d)).