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.

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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