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Candida, flourescent stain
Candida, flourescent stain
Candidal esophagitis
Candidal esophagitis
Upper gastrointestinal system
Upper gastrointestinal system

Candida Esophagitis
Definition:
A fungal or yeast infection of the esophagus (a muscular tube that carries food -- it leads from the back of the mouth to the stomach) caused by the yeast Candida.

Alternative Names:
Candida infection - esophagus; Yeast infection - esophagus

Causes, incidence, and risk factors:
Oral candida or thrush is an unusual finding in the young adult, although it is somewhat more common in the elderly. It often heralds a decrease in the strength of the immune system. People with AIDS or others with compromised immune systems (organ transplant recipients, diabetics, those undergoing chemotherapy, and those with leukemia or lymphoma) are at risk for candidal infections.

Candidal esophagitis occurs when the organism spreads from the mouth down the esophagus. Swallowing becomes difficult and painful. Fever may occur if there is further dissemination (spreads) of the fungus.

Oral thrush or yeast infection predisposes an immunocompromised person to esophagitis.
Symptoms:
Signs and tests:
Tests that show Candida include:
Treatment:
The objective of treatment is to eliminate the infection with antifungal medications, such as ketoconazole and fluconazole. Amphotericin B may be used if other treatment fails.
Expectations (prognosis):
Esophagitis can usually be treated effectively. The outcome depends upon the underlying immunodeficiency that makes the person more susceptible to the infection.
Complications:
  • recurrent infection
  • spread of Candida to other sites
  • holes in the esophagus
Calling your health care provider:

Call for an appointment with your health care provider if symptoms of esophagitis develop, particularly if you are known to be immunosuppressed.
Prevention:
Prevention of AIDS prevents opportunistic infections, such as Candida. (Opportunistic infections are infections by organisms that are not normally disease producing, but take advantage of a situation, such as a damaged immune system.) Good oral hygiene may reduce the risk of infection.
Review Date: 2/22/2002
Reviewed By: Camille Kotton, M.D., Infectious Diseases Division, Massachusetts General Hospital and Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.
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