Clindamycin-induced esophageal ulcer

esophageal level for a few hours. Five days before he had been operated on for a pilonidal cyst, having henceforth been treated with clindamycin in capsules, which were ingested with very small amounts of liquid. He had been feeling some pain ever since. An upper endoscopy revealed the presence of two superficial ulcers at 30 cm (Fig. 1A) and another two deep, friable-upon-friction ulcers at 28 cm (Fig. 1B). Following a diagnosis of possible esophageal ulcers induced by clindamycin, this drug was discontinued and pantoprazole and sucralfate was administered instead; the patient remains asymptomatic and an upper endoscopy performed 45 days later did not revealed any lesion. Clindamycin-induced esophageal ulcer