Esophageal candidiasis: Difference between revisions

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'''For patient information page on this topic, click [[{{PAGENAME}} (patient information)|here]].'''
{{Infobox_Disease
| Name          = Oral candidiasis
| Image          = Oral thrush.JPG
| Caption        = Oral thrush
}}
{{Oral candidiasis}}


{{CMG}}  '''Associate Editor(s)-In-Chief:''' [[User: Prashanthsaddala|Prashanth Saddala M.B.B.S]]


==Overview==
{{SK}} OPC; thrush; oral thrush; candidiasis of the mouth and throat; candidosis; oral moniliasis; oropharyngeal candidiasis
==[[Oral candidiasis overview|Overview]]==


[[Image:Esophageal candidiasis.jpg|left|thumb|200px|Endoscopic image of '''esophageal candidiasis''' in a patient after [[chemotherapy]].  Brushings confirmed the presence of [[hyphae]]]]
==[[Oral candidiasis historical perspective|Historical Perspective]]==


'''Esophageal candidiasis''' is an opportunistic infection of the [[esophagus]] by ''[[Candida albicans]]''.  The disease occurs in patients in immunocompromised states, including post-[[chemotherapy]] and in [[AIDS]].  It is also known as '''candidal esophagitis''' or '''monilial esophagitis'''
==[[Oral candidiasis pathophysiology|Pathophysiology]]==


==Clinical presentation==
==[[Oral candidiasis causes|Causes]]==
[[Image:Candida.jpg|left|thumb|150px|[[H&E]] stain of esophagus showing [[Candida]] [[hyphae]] within the [[lamina propria]]]]
Patients with esophageal candidiasis present with [[odynophagia]], or painful swallowing.  Longstanding esophageal candidiasis can result in [[weight loss]].  There is often concomittant [[thrush]].


Some patients present with esophageal candidiasis as a first presentation of systemic [[candidiasis]]
==[[Oral candidiasis differential diagnosis|Differentiating Oral Candidiasis from other Diseases]]==


==Diagnostic testing==
==[[Oral candidiasis epidemiology and demographics|Epidemiology and Demographics]]==
Patients where esophageal candidiasis is suspected should undergo [[esophagogastroduodenoscopy]] if it is safe to do so.  Endoscopy often reveals classic diffuse raised plaques that characteristically can be removed from the [[mucosa]] by the endsocope.  Brushing or [[biopsy]] of the plaques shows [[hyphae]] that are characteristic of ''Candida'' species.


==Therapy==
==[[Oral candidiasis risk factors|Risk Factors]]==
A variety of medications may be used to treat esophageal candidiasis.  They include:
*[[nystatin]]
*oral [[triazoles]], such as [[fluconazole]]
*[[caspofungin]], used in refractory or systemic cases
*[[amphotericin]], used in refractory or systemic cases


==See also==
==[[Oral candidiasis natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
*[[candidiasis]]
*[[esophagitis]]
*[[neutropenia]]


==Diagnosis==


[[Oral candidiasis history and symptoms|History and Symptoms]] | [[Oral candidiasis physical examination|Physical Examination]] | [[Oral candidiasis laboratory findings|Laboratory Findings]] | [[Oral candidiasis other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
[[Oral candidiasis medical therapy|Medical Therapy]] | [[Oral candidiasis primary prevention|Primary Prevention]] | [[Oral candidiasis secondary prevention|Secondary Prevention]] | [[Oral candidiasis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Oral candidiasis future or investigational therapies|Future or Investigational Therapies]]
==Case Studies==
[[Oral candidiasis case study one|Case #1]]
==Related Chapters==
* [[Candida albicans]]
* [[Candidiasis]]
{{Mycoses}}
[[da:Trøske (infektion)]]
[[it:Mughetto (malattia)]]
[[Category:Disease]]
[[Category:Fungal diseases]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Fungal diseases]]
[[Category:Infectious disease]]
[[Category:Primary care]]


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Revision as of 19:15, 11 May 2017

For patient information page on this topic, click here.

Oral candidiasis
Oral thrush

Oral candidiasis Microchapters

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Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Oral candidiasis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Prashanth Saddala M.B.B.S

Synonyms and keywords: OPC; thrush; oral thrush; candidiasis of the mouth and throat; candidosis; oral moniliasis; oropharyngeal candidiasis

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Oral Candidiasis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

Template:Mycoses

da:Trøske (infektion) it:Mughetto (malattia)


Template:WikiDoc Sources