Candida Esophagitis Presenting as an Esophageal Pseudotumor

Author:

Frost S. Taylor12,Abdelfattah Thaer12,Shah Tilak U.12

Affiliation:

1. Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA

2. Division of Gastroenterology, Hepatology, and Nutrition, Central Virginia VA Health Care System, Richmond, VA

Abstract

ABSTRACT The typical appearance of Candida esophagitis is white plaque-like membranes within the esophagus. We describe a unique case of Candida esophagitis that presented as a bulky, malignant-appearing, positron emission tomography-computed tomography-avid mass on endoscopy. Esophageal candidiasis persisted despite a standard course of antifungal medications (fluconazole 400 mg daily for 14 days), and eradication was successful only after fluconazole 800 mg daily was administered. Malignancy was excluded based on 2 separate sessions of endoscopy with multiple biopsies and finally with endoscopic full-thickness resection assisted by preresection closure with an over-the-scope clip.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference6 articles.

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3. Prevalence of esophageal Candida colonization in a Danish population: Special reference to esophageal symptoms, benign esophageal disorders, and pulmonary disease;Andersen;J Infect Dis,1992

4. Fluconazole resistant Candida oesophagitis in immunocompetent patients: Is empirical therapy justifiable?;Kakati;J Clin Diagn Res,2015

5. Post-monilial extensive esophageal stricture;Ismail;Pediatr Hematol Oncol,1993

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