Necrotising Candida oesophagitis after thoracic radiotherapy: significance of oesophageal wall oedema on CT.
BMJ Case Rep
; 20152015 Jul 01.
Article
em En
| MEDLINE
| ID: mdl-26135495
ABSTRACT
Although oesophageal candidiasis is usually a superficial mucosal infection, necrotising Candida oesophagitis has been reported to cause oesophageal perforation or lung abscess. We report the case of an elderly Japanese man presenting with painless dysphagia after thoracic radiotherapy for oesophageal cancer. Non-contrast CT demonstrated segmental and oedematous thickening of the oesophageal wall. Endoscopy revealed white plaques on the oesophageal mucosa. The patient's oesophagitis responded to systemic antifungal therapy, and did not lead to oesophageal perforation. He died of recurrent oesophageal cancer several months later. The importance of severe radiation-induced oesophagitis without pain, our pathophysiological hypothesis on the local oedema caused by Candida infection and the usefulness of CT in evaluating abnormal thickening of the gastrointestinal tract are discussed separately in the article.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Candidíase
/
Neoplasias Esofágicas
/
Transtornos de Deglutição
/
Esofagite
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article