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Updated: Jun 28, 2026

An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
Candida esophagitis: species distribution and risk factors for infection
Dimas Alexandre Kliemann1, Alessandro Comarú Pasqualotto, Maicon Falavigna
1Programa de Pós-Graduação em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Abstract:
Although Candida albicans is the main cause of fungal esophagitis, other species such as C. tropicalis, C. krusei and C. stellatoidea have also been implicated. Several studies have identified risk factors for C. albicans esophagitis. However, data for non-C. albicans species is still sparse. The aim of this study was to determine the etiology of Candida esophagitis in our medical centre over an 18-month period. Additionally, we aimed to investigate predisposing conditions for esophageal candidosis caused by different Candida species. A total of 21,248 upper gastroscopies were performed in Santa Casa Complexo Hospitalar between January 2005 and July 2006. The prevalence of Candida esophagitis was 0.74% (n = 158). C. albicans caused the vast majority of infections (96.2%), followed by C. tropicalis (2.5%), C. lusitaniae (0.6%) and C. glabrata (0.6%). There were 81 women (51.3%) and 77 men (48.7%). No case of mixed infection occurred. Concomitant oral candidosis was documented for 10.8% (n = 17). Most of cases (55.1%) involved outpatients. Around one fifth of patients in our cohort had no identifiable risk factors for esophageal candidosis (20.8%). Since nearly all infections were caused by C. albicans we were not able to determine risk factors for esophagitis caused by other Candida species.
Insights
Candida esophagitis is primarily caused by Candida albicans, with other species rarely identified. This study found insufficient data to determine risk factors for non-albicans Candida esophagitis.
Area of Science:
- Medical Mycology
- Gastroenterology
Background:
- Candida albicans is the primary cause of fungal esophagitis.
- Risk factors for non-albicans Candida esophagitis are not well-established.
Purpose of the Study:
- To determine the etiology of Candida esophagitis.
- To investigate predisposing conditions for esophageal candidosis caused by different Candida species.
Main Methods:
- Retrospective analysis of 21,248 upper gastroscopies.
- Identification of Candida species in esophageal candidosis cases.
Main Results:
- Prevalence of Candida esophagitis was 0.74% (158 cases).
- Candida albicans accounted for 96.2% of infections.
- Other species identified: C. tropicalis (2.5%), C. lusitaniae (0.6%), C. glabrata (0.6%).
- No mixed infections were observed.
- 20.8% of patients had no identifiable risk factors.
Conclusions:
- Candida albicans is the predominant cause of esophagitis.
- Limited data prevents identifying risk factors for non-albicans Candida esophagitis due to low prevalence.
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