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[Achalasia and mycosis]
G Schwesinger1, M Knoke, H Bernhardt
1Institut für Pathologische Anatomie, Bereiches Medizin der Ernst-Moritz-Arndt-Universität Greifswald.
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|March 1, 1989
Summary
A 73-year-old woman with achalasia developed a severe esophageal candidosis. This case highlights mycotic esophagitis as a potential complication of esophageal lesions.
Area of Science:
- Gastroenterology
- Mycology
- Internal Medicine
Background:
- Achalasia is a primary esophageal motility disorder characterized by impaired relaxation of the lower esophageal sphincter and aperistalsis of the esophageal body.
- Esophageal candidosis, a fungal infection of the esophagus, can occur in immunocompromised individuals or those with structural abnormalities.
- The interplay between achalasia and esophageal infections like candidosis requires careful consideration in diagnosis and management.
Observation:
- A case report details a massive candidosis of the esophagus in a 73-year-old female patient diagnosed with achalasia.
- The patient presented with symptoms indicative of a severe esophageal fungal overgrowth.
Findings:
- The study discusses potential etiologies contributing to the development of esophageal candidosis in the context of achalasia.
- Differential diagnosis of achalasia is explored, considering various esophageal pathologies.
- Mycotic esophagitis is identified as a significant complication, among other potential sequelae, of esophageal lesions associated with achalasia.
Implications:
- This case underscores the importance of recognizing esophageal candidosis as a complication in patients with achalasia.
- Prompt diagnosis and appropriate antifungal treatment are crucial for managing mycotic esophagitis in this patient population.
- Further research may elucidate the specific mechanisms linking achalasia and increased susceptibility to esophageal fungal infections.