{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:36:39Z","timestamp":1792481799929,"version":"4.5.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"48","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Rationale:<\/jats:title>\n                    <jats:p>Acute phlegmonous esophagitis (APE) is bacterial infection of the submucosal and muscularis layers of the esophagus. APE is a rare but life-threatening disease, and few studies have reported it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient concerns:<\/jats:title>\n                    <jats:p>A 63-year-old Korean woman was admitted to the emergency department complaining of chest pain. Contrast-enhanced computed tomography revealed diffuse esophageal wall thickening with low attenuation and paraesophageal fluid collection in the mediastinum. Esophagomyotomy, mediastinal abscess drainage with a right thoracotomy, and left 3-port video-assisted thoracoscopy were performed in the operating room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnoses:<\/jats:title>\n                    <jats:p>Contrast-enhanced computed tomography revealed diffuse esophageal wall thickening with low attenuation and paraesophageal fluid collection in the mediastinum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Esophagomyotomy, mediastinal abscess drainage with a right thoracotomy, and left 3-port video-assisted thoracoscopy were performed in the operating room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>The patient followed up through an outpatient visit 4 days later discharged. The patient progress was good, and she decided to visit the patient if she had pain afterwards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lessons:<\/jats:title>\n                    <jats:p>As APE is rare but deadly, strategies to identify APE in patients with chest pain or dysphagia are needed in emergency department.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/md.0000000000036364","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T22:00:50Z","timestamp":1701468050000},"page":"e36364","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Acute phlegmonous esophagitis presenting as chest pain: A case report"],"prefix":"10.1097","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9276-8695","authenticated-orcid":false,"given":"Mose","family":"Chun","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daesup","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mun Ki","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Ho","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Jee","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, South Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260811","first-page":"13","article-title":"Evaluation of acute chest pain management in emergency department.","volume":"10","author":"Alsini","year":"2019","journal-title":"Arch Pharm Pract"},{"key":"R2-20260811","doi-asserted-by":"crossref","first-page":"125","DOI":"10.12659\/AJCR.902180","article-title":"A rare case of acute phlegmonous esophagogastritis complicated with hypopharyngeal abscess and esophageal perforation.","volume":"18","author":"Huang","year":"2017","journal-title":"Am J Case Rep"},{"key":"R3-20260811","doi-asserted-by":"crossref","first-page":"e00042","DOI":"10.14309\/crj.0000000000000042","article-title":"Acute phlegmonous esophagogastritis causing respiratory distress.","volume":"6","author":"Ko","year":"2019","journal-title":"ACG Case Rep J"},{"key":"R4-20260811","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00595-013-0536-2","article-title":"Acute phlegmonous esophagitis as a rare but threatening complication of chemoradiotherapy: report of a case.","volume":"44","author":"Karimata","year":"2014","journal-title":"Surg Today"},{"key":"R5-20260811","doi-asserted-by":"crossref","first-page":"1532","DOI":"10.3346\/jkms.2010.25.10.1532","article-title":"Acute diffuse phlegmonous esophagogastritis: a case report.","volume":"25","author":"Kim","year":"2010","journal-title":"J Korean Med Sci"},{"key":"R6-20260811","doi-asserted-by":"crossref","first-page":"45","DOI":"10.3348\/jksr.2018.79.1.45","article-title":"Acute phlegmonous esophagitis with mediastinitis complicated by an esophageal perforation: a case report.","volume":"79","author":"Shin","year":"2018","journal-title":"J Korean Soc Radiol"},{"key":"R7-20260811","doi-asserted-by":"crossref","first-page":"453","DOI":"10.5090\/kjtcs.2017.50.6.453","article-title":"Phlegmonous esophagitis treated with internal drainage and feeding jejunostomy.","volume":"50","author":"Woo","year":"2017","journal-title":"Korean J Thorac Cardiovasc Surg"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000036364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T08:02:51Z","timestamp":1786435371000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/MD.0000000000036364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":7,"journal-issue":{"issue":"48","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000036364","relation":{},"ISSN":["0025-7974","1536-5964"],"issn-type":[{"value":"0025-7974","type":"print"},{"value":"1536-5964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,1]]}}}