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[Esophageal histoplasmosis. A case report]

M A Henry1, E F Mendes, L H Saad

  • 1Departamento de Cirurgia e Ortopedia, Universidade Estadual Paulista, SP.

Arquivos De Gastroenterologia
|January 1, 1996
PubMed
Summary

A fungal infection caused esophageal stenosis, leading to dysphagia. Despite treatment and dilation, rupture occurred, necessitating esophagectomy for symptom relief.

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Area of Science:

  • Medicine
  • Gastroenterology
  • Mycology

Background:

  • Progressive dysphagia is a significant symptom requiring thorough investigation.
  • Esophageal stenosis can result from various etiologies, including infections.

Observation:

  • A case presented with progressive dysphagia, revealing lower esophageal stenosis.
  • Biopsies confirmed fungal presence, identified as Histoplasma capsulatum via tissue culture.

Findings:

  • Standard medical treatment for the fungal infection failed.
  • Endoscopic dilatation, attempted due to treatment failure, resulted in esophageal rupture.
  • Surgical intervention with partial esophagectomy was ultimately required.

Implications:

  • This case highlights the challenges in managing complex esophageal fungal infections.
  • It underscores the potential complications of endoscopic procedures in severe esophageal pathology.
  • Histoplasma capsulatum should be considered in the differential diagnosis of esophageal stenosis, particularly in endemic areas.

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