| Summary points: | A 27-year-old woman is admitted to the emergency department with a 7-day history of dysphagia, especially for solid food, and odynophagia. She had no previous history of upper gastrointestinal complaints or any systemic symptoms. Physical examination, abdominal computed tomography (CT) scan, routine laboratory studies and serological tests, esophagoscopy, and biopsy are described. The authors stress the role of Epstein-Barr virus infection in the pathogenesis of oesophagitis, a rare condition in the immunocompetent patient in which active infection may represent a primary infection or reactivation. |