Kimura H, Kurachi M, Tsukioka Y, Minami M, Itou M, Fujii H, Nakanishi K
Department of Surgery, Yatsuo General Hospital, Toyama, Japan.
J Gastroenterol. 1995 Aug;30(4):508-11. doi: 10.1007/BF02347568.
Candidiasis of the esophagus progressing to stricture formation in a 74-year-old male is reported. Esophageal candidiasis develops in the presence of various predisposing conditions such as long-standing administration of antibiotics or corticosteroids, and malignancy. The first endoscopic examination of this patient revealed unusual multiple black plaques in the esophagus. Despite intensive exploration, no predisposing factors were found. The stricture was progressive, despite the administration of adequate antifungal therapy, and its presence necessitated several attempts at dilatation. Case reports of esophageal candidiasis without underlying disease are very rare.
报告了一名74岁男性食管念珠菌病进展为狭窄形成的病例。食管念珠菌病在多种易感因素存在的情况下发生，如长期使用抗生素或皮质类固醇以及恶性肿瘤。该患者的首次内镜检查显示食管内有异常的多个黑色斑块。尽管进行了深入检查，但未发现易感因素。尽管给予了充分的抗真菌治疗，狭窄仍在进展，其存在需要多次进行扩张尝试。无基础疾病的食管念珠菌病病例报告非常罕见。
