Question

Serpiginous ulcer distal esophagus

• A. CMV
• B. Herpes
• C. Pill
• D. Corrosive

Answer 1

The Correct Option is A

In the context of esophageal ulcers, serpiginous ulcers in the distal esophagus are indicative of certain conditions. Serpiginous ulcers have a wavy, snake-like border pattern. Among the options provided, the most likely cause of serpiginous ulcers in the distal esophagus is a CMV (Cytomegalovirus) infection.

1. CMV (Cytomegalovirus): CMV is a type of herpesvirus that can cause esophagitis, particularly in immunocompromised individuals. It typically results in large linear or serpiginous ulcers.

2. Herpes Simplex Virus (HSV): Herpetic esophagitis typically causes small, well-circumscribed "volcano-like" ulcers rather than serpiginous ones.

3. Pill-induced esophagitis: This usually results in distinct punched-out ulcers rather than serpiginous ones.

4. Corrosive esophagitis: Caused by ingestion of acidic or alkaline substances, it can lead to widespread tissue damage but not specifically serpiginous ulcers.

Considering the unique characteristics of serpiginous ulcers, CMV is the most likely culprit among the options provided.