Esophageal candidiasis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Esophageal candidiasis
Esophageal candidiasis
Synonyms	Candidal esophagitis
Pronounce	N/A
Specialty	N/A
Symptoms	Dysphagia, odynophagia, chest pain, nausea
Complications	Esophageal stricture, perforation
Onset
Duration
Types	N/A
Causes	Candida albicans
Risks	Immunosuppression, HIV/AIDS, diabetes mellitus, use of corticosteroids
Diagnosis	Endoscopy, biopsy
Differential diagnosis	Gastroesophageal reflux disease, esophagitis due to other causes
Prevention
Treatment	Antifungal medications such as fluconazole
Medication
Prognosis	Generally good with treatment
Frequency	Common in immunocompromised individuals
Deaths	N/A

Esophageal candidiasis is a fungal infection of the esophagus, the tube that carries food from the mouth to the stomach. It is caused by the yeast Candida species, most commonly Candida albicans. This condition is often seen in people with weakened immune systems, such as those with HIV/AIDS, cancer patients undergoing chemotherapy, or people who have had organ transplants.

Causes

Esophageal candidiasis is caused by the overgrowth of Candida yeast in the esophagus. This can occur when the body's immune system is weakened or when the normal balance of bacteria in the body is disrupted. Certain medications, such as antibiotics or corticosteroids, can also contribute to the development of this condition.

Symptoms

The most common symptoms of esophageal candidiasis include difficulty swallowing, pain when swallowing, and chest pain. Some people may also experience nausea, vomiting, or a feeling of food being stuck in the throat.

Diagnosis

Esophageal candidiasis is typically diagnosed through a procedure called an endoscopy, in which a thin, flexible tube with a light and camera at the end is inserted into the esophagus. A small sample of tissue may be taken for laboratory testing to confirm the diagnosis.

Treatment

Treatment for esophageal candidiasis typically involves antifungal medications, such as fluconazole or itraconazole. In severe cases, hospitalization may be required.

Prevention

Prevention of esophageal candidiasis involves maintaining a healthy immune system and avoiding behaviors that can disrupt the body's natural balance of bacteria. This can include avoiding unnecessary use of antibiotics, maintaining good oral hygiene, and eating a balanced diet.

Images

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  Esophageal candidiasis (2) PAS stain
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  Esophageal candidiasis
• 
  Candida

See also

• Candidiasis
• Esophagus
• Endoscopy

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