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Esophagitis (Candida albicans)

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Esophagitis (Candida albicans)

History: Patient is a 17yo African American male with a past medical history significant for hemophilia and transfusion acquired HIV infection with low T4 count, who is medically managed at a hospital. He presents to the hospital with a chief complaint of painful swallowing for one week with persistent oral thrush infection.

Findings: Barium swallow (1): Following ingestion of low- density barium and later, high-density barium (double contrast study), the pt. was found to have a diffuse abnormal mucosal pattern with shaggy margins to the esophagus. Multiple longitudinal filling defects. The entire thoracic esophagus is involved, but was most marked in the distal half. Changes are consistent with esophagitis. Barium swallow (2): On comparison to film #1, the patient is noted to have some minimal improvement, however the disease remains widespread. Equivocal evidence of improvement. CT chest: No previous scans. Esophagus is normal caliber throughout most of its length. Contrast column is more lateral than posterior, which is not in itself abnormal. No definite abnormality of the esophagus which could explain the symptoms, but this is not very sensitive for mucosal abnormalities. Barium swallow (3): No residual evidence of esophagitis. The diffuse esophageal changes seen in December have regressed in their entirety and the appearance of the esophagus is regarded as normal, with no residual inflammatory changes.

No MeSH data available.


Barium Swallow (2)
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MPX2108_synpic38238: Barium Swallow (2)


Esophagitis (Candida albicans)

Afiesimama BOA - MedPix (2007)

Barium Swallow (2)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2108&req=5

MPX2108_synpic38238: Barium Swallow (2)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Esophagitis (Candida albicans)

History: Patient is a 17yo African American male with a past medical history significant for hemophilia and transfusion acquired HIV infection with low T4 count, who is medically managed at a hospital. He presents to the hospital with a chief complaint of painful swallowing for one week with persistent oral thrush infection.

Findings: Barium swallow (1): Following ingestion of low- density barium and later, high-density barium (double contrast study), the pt. was found to have a diffuse abnormal mucosal pattern with shaggy margins to the esophagus. Multiple longitudinal filling defects. The entire thoracic esophagus is involved, but was most marked in the distal half. Changes are consistent with esophagitis. Barium swallow (2): On comparison to film #1, the patient is noted to have some minimal improvement, however the disease remains widespread. Equivocal evidence of improvement. CT chest: No previous scans. Esophagus is normal caliber throughout most of its length. Contrast column is more lateral than posterior, which is not in itself abnormal. No definite abnormality of the esophagus which could explain the symptoms, but this is not very sensitive for mucosal abnormalities. Barium swallow (3): No residual evidence of esophagitis. The diffuse esophageal changes seen in December have regressed in their entirety and the appearance of the esophagus is regarded as normal, with no residual inflammatory changes.

No MeSH data available.