A 63-year-old woman presented to the outpatient clinic with a 1-month history of odynophagia
and dysphagia. She had not received any immunosuppressant medication, antibiotic and
glucocorticoid. She had no documented past medical history. Physical examination was
unremarkable. Esophagogastroduodenoscopy revealed white, linear, plaquelike, mucosal
lesions throughout the whole length of the esophagus (Fig. 1A, B). Gastroduodenal and oropharyngeal lesions were not discovered. Histopathology of
mucosa revealed Candida blastospores and pseudohyphae (Fig. 1C, D). Direct fungal cultures and detection were also positive for Candida albicans. Finally, she received the diagnosis of Candida esophagitis according to the typically
characteristic endoscopic manifestations and a culture of esophageal brushing samples
positive for Candida albicans. Human immunodeficiency virus test was negative.
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References
- Infectious esophagitis.Gastrointest Endosc Clin N Am. 1994; 4: 713-729
- Upper gastrointestinal symptoms predictive of Candida esophagitis and erosive esophagitis in HIV and non-HIV patients: an endoscopy-based cross-sectional study of 6011 patients.Medicine. 2015; 94: e2138https://doi.org/10.1097/md.0000000000002138
- Candida esophagitis.New Engl J Med. 2017; 376: 1574https://doi.org/10.1056/NEJMicm1614893
Article info
Publication history
Published online: December 22, 2022
Accepted:
December 19,
2022
Received:
September 5,
2022
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
