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Fungal esophagitis in children
1Department of Pediatrics and Clinical Pathology, College of Medicine, National Taiwan University, Taipei, R.O.C.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|November 1, 1993
Summary
Fungal esophagitis in children, often caused by Candida albicans, frequently presents with hematemesis and lower esophageal involvement. Diagnosis can be delayed due to atypical symptoms, highlighting the need for increased awareness in pediatric care.
Area of Science:
- Pediatric Gastroenterology
- Mycology
- Infectious Diseases
Background:
- Fungal esophagitis is a rare esophageal infection.
- Diagnosis in children can be challenging due to non-specific symptoms.
Purpose of the Study:
- To describe the clinical characteristics and causative agents of fungal esophagitis in pediatric patients.
- To highlight diagnostic challenges and common presentations.
Main Methods:
- Retrospective review of seven pediatric cases diagnosed between 1979 and 1991.
- Endoscopic, mycologic, and histologic evaluations were performed.
Main Results:
- Candida albicans was the predominant pathogen.
- Hematemesis was the most frequent symptom, with lower esophagus involvement.
- Atypical symptoms led to delayed diagnosis in most cases.
Conclusions:
- Fungal esophagitis in children often lacks typical symptoms, with hematemesis being a key indicator.
- Early endoscopic and mycologic evaluation is crucial for timely diagnosis and management.