Esophageal candidiasis: Difference between revisions
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==Clinical Features<ref name=candida>Kauffmann CA. Overview of Candida Infections. UptoDate. 2016.</ref>== | ==Clinical Features<ref name=candida>Kauffmann CA. Overview of Candida Infections. UptoDate. 2016.</ref>== | ||
* | *Odynophagia | ||
* | *[[Dysphagia]] | ||
* | *[[Chest pain|Retrosternal pain]] | ||
*[[ | *[[Nausea/vomiting]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
===[[Esophagitis]]=== | ===[[Esophagitis]]=== | ||
*Esophageal candidiasis | *[[Esophageal candidiasis]] | ||
* | *[[CMV esophagitis]] | ||
* | *[[HSV]] esophagitis | ||
*Eosinophilic esophagitis | *Eosinophilic esophagitis | ||
*Medication-induced esophagitis | *Medication-induced esophagitis | ||
Revision as of 20:34, 29 September 2019
Background
- Most commonly seen in HIV patients with CD4 count < 100 (AIDS-defining illness) or chronic inhaled glucocorticoid use
Clinical Features[1]
- Odynophagia
- Dysphagia
- Retrosternal pain
- Nausea/vomiting
Differential Diagnosis
Esophagitis
- Esophageal candidiasis
- CMV esophagitis
- HSV esophagitis
- Eosinophilic esophagitis
- Medication-induced esophagitis
Evaluation
- Thick, white, linear esophageal plaques on endoscopy
Management
- Fluconazole 400mg PO loading dose, followed by 200mg PO Qdaily x 2 weeks
- Itraconazole 200mg PO Qdaily for 2 weeks
- has more nausea side-effects and drug interactions compared to fluconazole
Disposition
See Also
External Links
References
- ↑ Kauffmann CA. Overview of Candida Infections. UptoDate. 2016.