Hoversten P, Kamboj A K, Katzka D A
Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Dis Esophagus. 2018 Dec 1;31(12). doi: 10.1093/dote/doy094.
Infectious esophagitis is a leading cause of esophagitis worldwide. While esophageal infections have traditionally been associated with immunocompromised patients, these disorders are becoming increasingly recognized in immunocompetent individuals. The three most common etiologies of infectious esophagitis are Candida, herpes simplex virus, and cytomegalovirus. Human papilloma virus infection can also involve the esophagus in the form of ulcerative lesions and papillomas. Less common etiologies include various other fungal, bacterial, and viral organisms. This review provides a comprehensive update on risk factors, diagnosis, and management of both common and less common infections of the esophagus.
感染性食管炎是全球范围内食管炎的主要病因。虽然食管感染传统上与免疫功能低下的患者有关,但这些疾病在免疫功能正常的个体中也越来越受到认可。感染性食管炎最常见的三种病因是念珠菌、单纯疱疹病毒和巨细胞病毒。人乳头瘤病毒感染也可表现为溃疡性病变和乳头状瘤的形式累及食管。较罕见的病因包括各种其他真菌、细菌和病毒病原体。本综述全面更新了食管常见和罕见感染的危险因素、诊断及管理。