Esophageal candidiasis

Background

• Most commonly seen in HIV patients (AIDS-defining illness) or chronic inhaled glucocorticoid use

Clinical Features

Esophageal Candidiasis

• odynophagia
• dysphagia
• retrosternal pain
• nausea/vomiting

Differential Diagnosis

Esophatitis

• Esophageal candidiasis
• Cytomegalovirus esophagitis
• Herpes Simplex esophagitis
• Eosinophilic esophagitis
• Medication-induced esophagitis

Evaluation

• Diagnosis
  • thick, white, linear esophageal plaques on endoscopy