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Candida Esophagitis
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Slides GD Esophagus.pdf
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00:01 Move away from viral type of esophagitis and look at one fungal esophagitis, with Candida. 00:09 Most frequent cause of esophagitis in immunocompromised patients. 00:13 So now we have 3 infections, causing odynophagia in esophagitis or from esophagitis. 00:21 We have HSV, we have CMV, and now Candida. 00:25 Each one, the descriptions on upper endoscopy has been different and key for your understanding. 00:31 Symptoms of dysphagia, odynophagia will be present, GERD as well. 00:34 Talked about chest pain, so in that aspect that’ll be relatively the same in all infectious esophagitis. 00:42 The endoscopy here however, will not show you crops of vesicles, will not show you diffuse ulceration. 00:48 It will not show you focal ulceration but it will find… you will find what you would expect with Candida, with the pseudo hyphae and the yeast. 00:59 Now that’s more about your actual preparation that you would find with this fungus. 01:04 But in… on gross examination, what you end up finding is going to be this whitish-yellow plaque. 01:11 Biopsy will confirm absolute diagnosis. 01:14 Management here will be fluconazole, oral. 01:17 Fluconazole, oral.
About the Lecture
The lecture Candida Esophagitis by Carlo Raj, MD is from the course Esophageal Disease: Basic Principles with Carlo Raj.
Included Quiz Questions
A 40-year-old patient with a history of bone marrow transplantation comes to the doctor's office complaining of severe pain in his throat. Endoscopy reveals whitish-yellow plaques. What is the MOST likely diagnosis?
- Candida esophagitis
- Herpes esophagitis
- CMV esophagitis
- Streptococcal esophagitis
- Drug reaction
A patient with a long history of GERD comes to the clinic complaining of discomfort in his throat. He says he has difficulty in swallowing and pain. Upon examination, the patient has a mild fever. What is the BEST test to confirm the diagnosis?
- Biopsy
- Culture
- Blood test and PCR
- Tzanck smear
- Giemsa stain
A 24-year-old man presents to your clinic with a severe case of dysphagia along with odynophagia. Upon seeing whitish-yellow plaques on the endoscopic biopsy specimen, you diagnose the condition as Candida esophagitis. What is the drug of choice to treat this condition?
- Oral fluconazole
- Oral acyclovir
- Oral ganciclovir
- Oral voriconazole
Author of lecture Candida Esophagitis
Carlo Raj, MD
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