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Online Images in the Medical Sciences| Volume 365, ISSUE 5, e80-e81, May 2023

Candida esophagitis

  • Dao-Hui Wei
    Affiliations
    The First College of Clinical Medical Science, China Three Gorges University, Yichang, China

    Institute of Digestive Disease, China Three Gorges University, Yichang, China

    Department of Gastroenterology, Yichang Central People's Hospital, Yichang, China
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  • Yu-Kui Peng
    Affiliations
    The First College of Clinical Medical Science, China Three Gorges University, Yichang, China

    Institute of Digestive Disease, China Three Gorges University, Yichang, China

    Department of Gastroenterology, Yichang Central People's Hospital, Yichang, China
    Search for articles by this author
  • Wei Liu
    Correspondence
    Corresponding author at: Institute of Digestive Disease, China Three Gorges University, 8 Daxue Road, Yichang 443000, China.
    Affiliations
    The First College of Clinical Medical Science, China Three Gorges University, Yichang, China

    Institute of Digestive Disease, China Three Gorges University, Yichang, China

    Department of Gastroenterology, Yichang Central People's Hospital, Yichang, China
    Search for articles by this author
Published:December 22, 2022DOI:https://doi.org/10.1016/j.amjms.2022.12.023
      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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