Candida esophagitis
Case contributed by Roman Bernal Troetsch
Diagnosis certain
Citation, DOI, disclosures and case data
Citation:
Troetsch R, Candida esophagitis. Case study, Radiopaedia.org (Accessed on 07 Jun 2023) https://doi.org/10.53347/rID-37086
Permalink:
rID:
37086
Disclosures:
At the time the case was submitted for publication Roman Bernal Troetsch had no recorded disclosures.
View Roman Bernal Troetsch's current disclosuresCase published:
26 May 2015
Revisions:
34 times, by 7 contributors - see full revision history and disclosures
Systems:
Tags:
Case of the day:
29 Jun 2015
Quiz mode:
Included
Presentation
Patient with dysphagia and odynophagia of one month of evolution to liquids and solids. History of AIDS.
Patient Data
Age: 35 years
Gender: Male
From the case:
Candida esophagitis
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Esophagogram
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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