Candidiasis in the mouth and throat is also called thrush or oropharyngeal candidiasis. Candidiasis in the esophagus (the tube that connects the throat to the stomach) is called esophageal candidiasis or Candida esophagitis. Esophageal candidiasis is one of the most common infections in people living with HIV/AIDS. Candida, fungal, infection, esophagitis, biopsy. 1. Introduction . Candida. esophagitis (CE) is commonly reported in patients with impaired cell-mediated immunodeficiency, such as patients with AIDS and transplants, but rarely reported in immunocompetent adults. We report a case of recurrent . Candida albicans . esophagitis in a . patient. , the possible emergence of strains resistant to these antifungals, as well as the high cost of the therapy, should raise doubts as to whether or not t
Mucosal candida infections, especially those involving oropharynx, esophagus, and vagina, are most common in the general population. The most common cause of infectious esophagitis is candida infection of the esophagus, with an incidence of up to 88% [ 2, Vulvovaginal candidiasis is considered recurrent when at least four specific episodes occur in one year or at least three episodes unrelated to antibiotic therapy occur within one year Candida infections can involve mucous membranes (eg, oropharyngitis, esophagitis, and vulvovaginitis) or be focally or systemically invasive. The clinical manifestations, diagnosis, and treatment of esophageal candidiasis in adults will be reviewed here
Abstract: A 71-year-old male patient presented with recurrent acute dysphagia in 2017 on a background of previous episodes of upper esophageal food bolus obstruction and mild gastro-esophageal reflux disease several years ago. He was diagnosed with acute erosive esophagitis from candidiasis and chronic gastritis with intestinal metaplasia. These were treated with anti-fungal therapy and a. with recurrent esophageal candidiasis received treatment with fluconazole (200-mg loading dose followed by 100 mg/day for 3 weeks) and had repeat endoscopy and clinical assessment to document resolution. Therapy was given to both symptomatic and asymptomatic patients with recurrent esophageal candidia- sis Chronic mucocutaneous candidiasis is a disorder characterized by chronic recurrent infection with Candida. The esophagus may be involved, resulting in chronic candidal esophagitis, which is clinically and radiographically distinct from acute candidal esophagitis. The clinical and radiographic features of four new and four previously reported. Chronic candidiasis, or yeast syndrome, is a complex medical syndrome attributed to an overgrowth in the gastrointestinal tract of the usually benign yeast (or fungus) Candida albicans. Fatigue, allergies, immune system malfunction, depression, chemical sensitivities and digestive disturbances are just some of the symptoms of yeast syndrome . Historically, oral candidiasis has been branded as disease of diseased
Candidal esophagitis is a condition most commonly seen in the immunocompromised and those with esophageal motility disorders. Reasons for increased susceptibility in these patient populations.. Chronic mucocutaneous candidiasis is persistent or recurrent candidal infection due to inherited T-cell defects. Autoimmune and endocrine disorders may develop in its recessive form. Diagnosis is based on recurrent, unexplained candida infections. Treatment includes antifungal drugs and treatment of any endocrine and autoimmune disorders Recurring Genital or Urinary Tract Infections Candida is found in the vaginal tracts of most women. An overgrowth of it can lead to candidiasis of the vagina, also known as a yeast infection Epidemiology. Oropharyngeal and esophageal candidiasis are common in patients with HIV infection. 1,2 The vast majority of such infections are caused by Candida albicans, although infections caused by non-C. albicans species have also been reported in recent years worldwide. 3-6 The occurrence of oropharyngeal or esophageal candidiasis is recognized as an indicator of immune suppression and is.
If there is recurrent vulvovaginal candidiasis (defined as four or more documented episodes in 1 year, with at least partial resolution of symptoms between episodes): Reassess for predisposing factors and remove or control as far as possible Esophageal stricture following fungal esophagitis has been reported in a 3-year-old girl with leukaemia and dysphagia . Lee et al in 2016 reported the first case of esophageal stricture secondary to candidiasis in a glycogen storage disease 1b child . Our patient had recurrent oropharyngeal candidiasis for more than 3 years and presented with. Chronic mucocutaneous candidiasis (CMC) refers to a heterogeneous group of rare disorders characterized by recurrent or persistent superficial infections of the skin, mucous membranes and nails caused by Candida spp., usually Candida albicans. The incidence may be familiar or sporadic
Candida esophagitis requires systemic therapy with fluconazole for 14-21 days. Parenteral therapy with fluconazole may be required initially if the patient is unable to take oral medications. Daily suppressive antifungal therapy with fluconazole 100-200 mg/d is effective for preventing recurrent episodes, but it should be used only if the recurrences become frequent or are associated with.
- Oropharyngeal candidiasis - Candida denture stomatitis - Candida esophagitis CPC Endosc - Candida albicans vaginitis - Balanoposthitis - Chronic mucocutaneous candidiasis - Disseminated candidiasis skin - Disseminated candidiasis nodule - Budding yeast Gram stain - Disseminated candidiasis kidney - Candida endophthalmitis - Vitritis in endophthalmitis RELATED TOPIC Upper endoscopy ruled out celiac disease but showed severe Candida esophagitis. Due to an impaired T-cell function especially following Candida antigen stimulation in vitro, plus recurrent Candida infections of the skin, the diagnosis of chronic mucocutaneous candidasis (CMC) was made
Esophageal thrush is a fungal infection of the food pipe. It occurs when a naturally occurring fungus called Candida grows out of control. Esophageal thrush is a serious condition, causing pain. Candida albicans is the most common cause of infectious esophagitis. It usually occurs as an opportunistic infection in immunocompromised patients. The characteristic appearance of Candida esophagitis on barium studies is that of diffuse discrete mucosal plaques, which may become confluent to form cobblestone or shaggy esophagus. Several authors have reported uncommon manifestations which. Candida esophagitis occurs mainly in children with immune suppression resulting from a malignancy, a chronic metabolic or infectious disease, or immunosuppressive drug therapy .It has also been reported in newborn infants because of their immature immune responses to Candida species .In children with esophageal motility disorders, disruption of luminal flow encourages the colonization of the.
Esophageal candidiasis. For the treatment of esophageal candidiasis, the recommended dosage of DIFLUCAN in children is 6 mg/kg on the first day, followed by 3 mg/kg once daily. Doses up to 12 mg/kg/day may be used, based on medical judgment of the patient's response to therapy Five children (aged 11 to 19 years) with lifelong chronic mucocutaneous candidiasis had 12 episodes of esophageal and/or laryngeal candidiasis documented by endoscopy. Symptoms included hoarseness (8/12), dysphagia (6/12), and hemoptysis (1/12). There was poor correlation between oral lesions and esophageal or laryngeal involvement. On fiberoptic endoscopy, the esophagus was involved alone in. Esophageal candidiasis is caused due to the following factors: Age as a Risk Factor of Esophageal Candidiasis: It occurs more in elderly individuals and in babies less than 1 year of age. Esophageal Candidiasis Caused Due to Diabetes: Diabetes patients have excess of sugar in their blood, which is a good medium for the growth of Candida albicans. Hence, diabetic patients commonly suffer from. Candidiasis is a fungal infection due to any type of Candida (a type of yeast). When it affects the mouth, in some countries it is commonly called thrush. Signs and symptoms include white patches on the tongue or other areas of the mouth and throat. Other symptoms may include soreness and problems swallowing. When it affects the vagina, it may be referred to as a yeast infection or thrush Candidal esophagitis. B37.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM B37.81 became effective on October 1, 2020. This is the American ICD-10-CM version of B37.81 - other international versions of ICD-10 B37.81 may differ
Chronic yeast infections usually occur when the reason behind the imbalance in the body wasn't properly addressed during the candida and yeast treatment. And since the imbalance that caused the yeast infection to begin with is still present after the treatment, it is likely that the yeast infection symptoms will keep coming back Discussion. Esophageal candidiasis is a rare entity in the paediatric population. Immunocompromised patients are the main risk group. Here we report the case of an immunocompetent paediatric patient with Candida esophagitis, but with other potential risk factors, like the treatment with proton pump inhibitors for a long period of time (Chocarro, 2000., Hasosah, 2009., Simon, 1997) . Chronic esophagitis dissecans presenting with esophageal strictures: a case. Up to 90% of persons with advanced untreated HIV infection develop OPC, with 60% having at least 1 episode per year with frequent recurrences (50-60%).(16,21,24-32) Esophageal candidiasis occurs less frequently (10-20%) but is the leading cause of esophageal disease. Vaginal candidiasis has been noted in 27-60% of women, similar to the rates of.
Table ESU-1. Unique Manifestations of Esophagitis by Causative Agent. Causative Agent. Unique manifestation. Candida albicans. Patients usually also have acute pseudomembranous candidiasis. Herpes simplex virus (HSV) Abrupt onset of symptoms Earliest esophageal lesions are 1- to 3-mm round vesicles in the middle to distal esophagu Chronic candida has been a well-recognized problem in functional and integrative medicine for many years. It too is a problem acknowledged in conventional medicine, although at times for different reasons, i.e., oral thrush or skin infections. Candidiasis is defined as a fungal infection linked to any form of candida species
Candidiasis is a real diagnosis, but it refers to candida overgrowth in the esophagus, in the vagina, and in the mouth; that's where candida overgrows, Freuman tells Health. But the idea that. However, Candida can disseminate from the esophagus, particularly during co-infection with herpes simplex virus (HSV) or cytomegalovirus (CMV). 2,6 Candidemia occurs in up to 12% of children with HIV infection who have chronic indwelling central venous catheters placed for administration of total parenteral nutrition or intravenous (IV. The esophagus is a muscular tube connecting the mouth to the stomach. Inflammation of the esophagus is called esophagitis. Food allergy, infections, Candida infection, acid reflux disease (GERD), surgery, use of certain medications like anti-inflammatory drugs, etc., are the prominent causes of this condition • Chronic mucocutaneous candidiasis (CMC) can be present without overt esophageal thrush • CMC can result in esophageal lesions causing significant morbidity. • APECED patients with dysphagia should be assessed for chronic candida esophagitis and treated accordingly. • Patients with recurrent candida esophagitis should be considered for.
Candida Esophagitis Pathogenesis . Candidiasis is the most common cause of infectious esophagitis. C .albicans is almost always the offending organism.Because C .albicans is a commensal inhabitant of the pharynx, Candida esophagitis is presumably caused by downward spread of the fungus to the esophagus.Clinically significant infection occurs primarily in patients who are immunocompromised. Chronic acid reflux is the most common cause of erosive esophagitis, but drinking corrosive liquids (such as cleaning solutions), taking certain pills or having certain types of large pills get caught in the esophagus can all cause painful erosions. ( 16) These are also called lesions Esophagitis can be caused by infection or irritation of the esophagus. Infections of the esophagus can be caused by bacteria, viruses, or fungi, including: Candida, a yeast infection.This is more common in patients with weakened immune systems, such as those with diabetes, HIV/AIDS, patients undergoing chemotherapy, or people who are taking antibiotics or steroids
Infectious esophagitis: Infection esophagitis can be caused by bacterial, fungal, parasitic and viral micro-organisms. Bacterial esophagitis is the least common of all. Candida albicans infection is the most common cause of infectious esophagitis. The first step in the pathophysiology involves colonization with mucosal adherence and proliferation A yeast infection in the throat is a medical condition more commonly referred to as candida esophagitis 1 2 4. This type of infection develops when a naturally-occurring yeast called Candida albicans grows uncontrollably in the throat 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 Although the esophagus is susceptible to infection by a host of fungi, viruses, bacteria, and parasites, most infectious esophagitis is caused by only three microorganisms: candida, herpes simplex. Herpes esophagitis. Candida esophagitis. Other: Radiation esophagitis. This disambiguation page lists articles associated with the same title. If an internal link led you here, you may wish to change the link to point directly to the intended article
Esophagus. From Libre Pathology. Jump to navigation Jump to search. A schematic of the esophagus. Esophagus connects the pharynx to the stomach. It is afflicted by tumours on occasion. Probably the most common affliction is gastroesophageal reflux disease (GERD) Candida Esophagitis. Candida Esophagitis. 74 year old man status post chemotherapy with dysphagia and white patches noted on endoscopic exam of esophagus. Esophageal squamous mucosa with numerous pseudohyphae admixed within an acute inflammatory exudate. Contributed by: Drs. James Carlsten and Murray Resnick Chronic mesenteric ischaemia is a severe disease that is often missed due to its non-specific presentation. Immunosuppressed patients are at risk for infectious gastrointestinal disease, which may further obscure the diagnosis of chronic mesenteric ischaemia. In this case, a patient's symptoms and diagnostic workup were consistent with candida esophagitis Lymphocytic esophagitis. Lymphocytic esophagitis is a rare disorder of the esophagus in which there are an increased number of lymphocytes in the lining of the esophagus, with most cases presenting with normal-appearing esophageal mucosa 1).Lymphocytic esophagitis is a form of chronic esophagitis characterized by edema and lymphocytic infiltration of the epithelial peripapillary fields. Although the side effect of Candida esophagitis associated with adalimumab treatment in our patient may be logical given the medication's mechanism of action and side-effect profile, this case warrants additional attention. An increase in fungal infections occurs from treatment with adalimumab because TNF-α is involved in many immune regulatory steps that counteract infection
Infectious esophagitis is rare. It often occurs in people whose immune systems are weakened. People who have strong immune systems don't usually develop the infection. Common causes of a weakened immune system include: HIV/ AIDS. Chemotherapy. Diabetes Mucocutaneous candidiasis is the culprit here, and it affects the mucous membrane in the throat and esophagus. Esophageal yeast infections can take place if dental thrush is neglected. These kinds of yeast infections are additionally most common in people with weakened immune systems
Candida. Infectious esophagitis, pill ulcers, caustic ingestion, foreign bodies, and neoplasms can all cause what? Caused by chronic bathing of acid into lower esophagus, the mucosa gets irritated and injured and forms scar tissue which makes it less pliable Results in dysphagia. Peptic Stricture Esophageal Candidiasis in a Patient With Uncontrolled Diabetes Mellitus and Recurrent Abdominal Pain, Symptomatic Or Incidental? A Case Report and Brief Literature Review Esophageal candidiasis (EC) is a common opportunistic infection in patients with impaired cellular immunity, such as human immunodeficiency virus (HIV) infection Background The prevalence of candida esophagitis (CE) might be changing in an era of highly active antiretroviral therapy (HAART) among HIV-infected patients or today's rapidly aging society among non-HIV-infected patients. However, few studies have investigated long-term CE trends, and CE risk factors have not been studied in a large sample, case-control study Systemic candidiasis includes a spectrum of yeast infections caused by different species (types) of Candida. It is a serious infection that can affect the blood, heart, brain, eyes, bones, or other parts of the body. Although there are over 200 species of Candida, five different species of Candida cause 90% of systemic candidiasis. The most common form of this invasive yeast infection is when.
Overview Although this form of candidal mucosal infection is very similar to oropharyngeal candidiasis (OPC), we will discuss here its unique features, particularly as these relate to patients with HIV-AIDS. Epidemiology The risk factors for candidal esophagitis are the same as those for OPC. And, just as for OPC, candidal esophagitis has received special attention ever since the beginning of. As secondary prophylaxis, chronic treatment with fluconazole 100-200 mg daily may be considered in frequently recurrent esophageal candidiasis. However, recurrent oesophagitis is becoming uncommon in the era of HAART. Antifungal therapy . The mainstay of treatment of candidiasis is the use of antifungals The diagnosis of severe Candida esophagitis prompts consideration of altered immunity as a predisposing condition. This case highlights esophageal stasis as another risk factor for extensive Candida infection and the limited sensitivity of upper endoscopy in diagnosing achalasia. Disclosures: R. Blair ‐ non About. Candidiasis is an infection caused by a yeast (a type of fungus) called Candida.Candida normally lives inside the body (in places such as the mouth, throat, gut, and vagina) and on skin without causing any problems. Sometimes Candida can multiply and cause an infection if the environment inside the vagina changes in a way that encourages its growth Esophageal candidiasis and GERD: chronic symptoms Saravana1982. Hi, I am a 31 year old Male. I was diagnosed with the erosive esophagitis along with candida infection in my esophagus through an endoscopy procedure about 11 months ago. Doctor put me on antifungal medicine and PPI. I felt a little recovery but I continued to take PPI
Esophageal candidiasis often occurs concurrently with other infectious esophageal disorders. In a review of 57 patients with AIDS and Candida esophagitis, 22 patients had coexistent cytomegalovirus (CMV) while 2 patients had Candida with CMV and herpes simplex virus (HSV).1 Fungi other than Candida involve the esophagus rarely Candida esophagitis results from fungal overgrowth in the esophagus, impaired cell-mediated immunity, or both. Fungal overgrowth typically occurs in the setting of esophageal stasis resulting from abnormal esophageal motility (eg, achalasia or scleroderma) or mechanical causes (eg, strictures) Systemic candidiasis may be candidemia and disseminated candidiasis. In patients with AIDS, oral thrush and Candida esophagitis is are common but not candidemia and disseminated candidiasis. Candida endophathalmitis and central nervous infection due to Candida species are other complications of Candida infection
A Candida infection is called candidiasis. When it develops in one's mouth it's called thrush or, on the medical report, oropharyngeal candidiasis. It can also occur in the vagina, commonly known as a yeast infection. In addition to affecting the throat, vagina and esophagus, Candida albicans can also become invasive, getting into the. lash follicles serve as a useful clue to candida infection. FIG 9 4. Alopecia of the eye brow skin ,eye lashes can occur in CMCC. 5. Canaliculitis, chronic dacryocystitis or acute purulent dacryocystitis. Mucocutaneous Manifestations: 1. CMCC usually begins with typical oral lesions which then extend to involve lips, larynx rarely esophagus. 2 6) Chronic Mucocutaneous Candidiasis (Candida Granuloma). This is a rare and severe form of Candidiasis, characterized by chronic infection of the skin, nails, scalp, and mucous membranes. This type of Candidiasis usually develops during infancy. It is characterized by red, pustular, crusted and thickened lesions, especially on the nose and. Esophageal candidiasis [Clin Infect Dis 2009;48:503-35.] - Always indicative of immunosuppression. - For recurrent infections, suppressive therapy with fluconazole 100-200mg PO 3x/week recommended This overgrowth of candida is known by different names such as candida yeast syndrome, chronic candidiasis, or candida overgrowth. It is at this point that the abundance of yeast can cause conditions such as leaky gut syndrome. Candida albicans is a fungus that produces 180 chemical toxins that can be absorbed through the intestines into the blood
Candidiasis definition. Candidiasis is also known as moniliasis, is a fungal disease that is classified under opportunistic fungal infection, because of its occurrence in persons with an immune-suppressed system, especially newborns, HIV/AIDS patients, patients on antibiotic therapies, cancer therapy patients.. It usually does not cause disease in healthy individuals and colonize the esophagus, with subsequent esophagitis [1,2]. Esophageal candidiasis usually manifests as white mucosal plaque-like lesions but it has been reported in the literature that it can manifest as an esophageal mass. We are reporting a case of recurrent esophageal candidiasi
and Kazuhiko Terada, M.D. April 20, 2017. N Engl J Med 2017; 376:1574. DOI: 10.1056/NEJMicm1614893. A 72-year-old man who had been treated with long-term antibiotics presented with odynophagia. Candida Esophagitis (Moniliasis). Double-contrast esophagram shows markedly nodular mucosa. with multiple discrete ulcers covering all of esophagus. Ulcers invariably appear only on a background of diffuse plaque formation, not as isolated findings. Long, smoothly-tapering strictures may develop but are rare Esophagitis is an inflammation of the lining of the esophagus, the tube that carries food from the throat to the stomach.If left untreated, this condition can become very uncomfortable, causing. Candidiasis or Candidosis OR Thrush is a yeast infection caused by any Candida species. Candida albicans is the most common agent causing infections in humans. The infection is commonly called 'thrush' or 'moniliasis'. Candida occurs freely everywhere and their infections can affect the body in many ways. From small localized areas of infection.
Esophageal Candidiasis in an Immunocompetent Girl with Chronic Anaemia. Infection is an uncommon cause of esophagitis among the paediatric population. The main risk factor is immunodeficiency. In children immunocompromised due HIV infection, certain endocrine diseases, and corticosteroid or immunosuppressive therapy, Candida albicans is the. Abstract Esophageal Candidiasis in an Immunocompetent Girl with Chronic Anaemia. Author(s): Barros Garc?a Patricia, Izquierdo Mart?n Ana, De Nicol?s Jim?nez Jorge Manuel, L?pez Lafuente Amparo, Mateos Rodr?guez Jos? Mar?a, Gonz?lez N??ez M ?ngeles, L?pez-Rodr?guez M Jos Esophagitis is one of many infections caused by Candida albicans and is mainly seen in immunocompromised individuals. Clinical presentation is comprised of dysphagia, food passage obstruction, as well as nausea and vomiting. Some patients may have concomitant oral candidiasis, which can be helpful in making the initial diagnosis, while endoscopy is used to confirm the presence of Candida in. On the other hand, in patients without HIV infection, Candida esophagitis remains an infrequent occurrence prompted by primary or secondary (iatrogenic) immunosuppression, immunologic disorders, underlying malignancies and their treatment, diabetes mellitus, and extensive surgery (i.e. gastrectomy), although some chronic medical treatments. esophageal candidiasis: Candida esophagitis Infectious disease Inflammation by Candida spp Risk factors Immunocompromise-eg, AIDS, heart, kidney, other transplants, leukemia, lymphoma, chemotherapy Clinical Dysphagia; fever if systemic. See Candidiasis
This modality is quite accurate in depicting the characteristic mucosal plaques, ulcers, and less common manifestations of Candida esophagitis. However, in most patients, the combination of odynophagia and oral thrush is sufficient to make the diagnosis and begin treatment. (Left) Esophagram shows a shaggy appearance of the esophagus due to. Introduction. Candida esophagitis is an opportunistic infection that complicates disorders associated with granulocyte and/ or lymphocyte numbers and dysfunction. It is the most common infection of the oesophagus and the most common gastrointestinal opportunistic disorder among individuals infected with HI
Eosinophilic esophagitis (EoE) is an allergic/immune response. Eosinophils, part of the immune system, are white blood cells that can be associated with inflammation and related to allergies. One of the main identified risk factors for the development of eosinophilic esophagitis is allergies to foods Cutaneous Candidiasis (Candida infection on skin): The main sites for skin Candidiasis are folds or crease of skin because of its moist and warm condition. These folds include armpits, bend of elbow, behind knees, groin (junction area where the thighs and abdomen meet), under the breast, and skin between fingers and toes Eosinophilic esophagitis (EoE) is an inflammation of the esophagus. Symptoms include heartburn, difficulty swallowing food, abdominal pain, and food getting stuck in the throat. Eosinophilic esophagitis treatment usually involves medications such as proton pump inhibitors and swallowed fluticasone propionate or budesonide
Although azole-resistant recurrent oropharyngeal and esophageal candidiasis has been a problem in patients with HIV infection and has been linked to long-term exposure to azoles, such findings did. Candida species (oroesophageal candidiasis) Cytomegalovirus (CMV) The risk of esophageal candidiasis also increases with the recurrent use of broad spectrum antibiotics and chemotherapeutic agents. Various pathogenic microbes may infect and complicate pre-existing esophageal ulcers that developed due to other causes. Medicatio
Esophagitis is caused by an infection or irritation of the esophagus. Bacteria, viruses, or fungi can cause infection. Individuals with weakened immune systems are more susceptible to these infections and may be at higher risk for esophagitis. Infections that cause esophagitis include: Candida is a yeast infection of the esophagus Esophagitis is often caused by stomach fluid that flows back into the food pipe. The fluid contains acid, which irritates the tissue. This problem is called gastroesophageal reflux (GERD). An autoimmune disorder called eosinophilic esophagitis also causes this condition.. The following increase your risk for this condition AIDS related esophageal disease Candida albicans* Cytomegalovirus* Idiopathic ulcerations* Herpes simplex Histoplasma capsulatum Mycobacterium avium complex Cryptosporidium spp. Neoplasm: Kaposi's sarcoma, lymphoma, squamous cell carcinoma, adenocarcinoma Non-AIDS esophageal disease Gastroesophageal reflux Pill-induced esophagitis candidiasis [kan″dĭ-di´ah-sis] infection by fungi of the genus Candida, generally C. albicans, most commonly involving the skin, oral mucosa (thrush), respiratory tract, or vagina; occasionally there is a systemic infection or endocarditis. It is most often associated with pregnancy, glycosuria, diabetes mellitus, or use of antibiotics. The Centers. Lichenoid esophagitis pattern has been rarely reported in association with dysplasia and carcinoma and periodic surveillance should be suggested. White plaques in proximal esophagus of middle aged women is a common endoscopic finding. Endoscopically it may mimic Candida esophagitis or eosinophilic esophagitis. Stricture formation can be seen. Candidiasis is most common cause of esophagitis with HIV infection, but CMV, HSV and aphthous ulcerations can cause similar Sx. Most common cause is C. albicans. Other Candida spp. can cause esophagitis and some are resistant to fluconazole. Approximately half of recurrent cases are caused by same strain of Candida