Candida esophagitis
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Roman Bernal Troetsch had no recorded disclosures.
View Roman Bernal Troetsch's current disclosuresPresentation
Patient with dysphagia and odynophagia of one month of evolution to liquids and solids. History of AIDS.
Patient Data
Irregular esophagus or "shaggy" appearance caused by thick plaques with trapping of barium between them and decrease of lumen with irregular contours in the lower third.
3 case questions available
Q: What organ is evaluated ? show answer
A: The oesophagus.
Q: What is the most common cause of infectious oesophagitis ? show answer
A: Candida oesophagitis: Candida albicans is the most common cause of infectious esophagitis.
Q: What does "shaggy oesophagus" describe? show answer
A: "Shaggy oesophagus" is secondary to innumerable coalescent pseudomembranes and plaques, with trapping of barium between the lesions.
Case Discussion
One week later the brushing of the plaques by upper endoscopy yeast and pseudohyphae were demonstrated confirming a characteristic Candida infection.
The diagnosis of candida esophagitis was proven.
References
- 1. Levine MS, Rubesin SE. Diseases of the esophagus: diagnosis with esophagography. Radiology. 2005;237 (2): 414-27. Radiology (full text) - doi:10.1148/radiol.2372050199 - Pubmed citation
- 2. Levine MS, Woldenberg R, Herlinger H et-al. Opportunistic esophagitis in AIDS: radiographic diagnosis. Radiology. 1987;165 (3): 815-20. doi:10.1148/radiology.165.3.2825235 - Pubmed citation
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