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Infectious Esophagitis in the Immunosuppressed: Candida and Beyond

Overview
Journal J Community Med (Reno)
Date 2020 Jan 4
PMID 31897451
Citations 2
Authors
Kais Zakharia
James H Tabibian
Affiliations
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Abstract

Infection is the second most common cause of esophagitis, second only to gastroesophageal reflux, and represents a clinically important disorder. Immunosuppressed patients are at highest risk for infectious esophagitis, with herpes simplex virus, and cytomegalovirus being the most common causative microorganisms. Here we provide a brief clinical review and present a case of concomitant oropharyngeal and presumed esophageal candidiasis in a patient with autoimmune hepatitis who was initiated on high-dose corticosteroid therapy and soon thereafter develop odynodysphagia and who was found to have herpes esophagitis diagnosed by endoscopy and histopathology.

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