Abstract

The patient is a 75-year-old immunocompetent male who had been diagnosed with esophagitis due to Candida glabrata after cardiac surgery 5 years earlier. After receiving treatment with several different antifungal medications with no results, he was referred to our unit due to aphagia. Barium swallow study showed nodular thickening, irregular surface and ulcerous craters in the mucosa of the distal third of the esophagus. Esophagogastroscopy with biopsy revealed stenosis in the distal third of the esophagus with a fungal appearance. After having ruled out malignancy, percutaneous gastrostomy was used to avoid patient malnutrition (Fig. 1). c i r e s p . 2 0 1 5 ; 9 3 ( 1 ) : 4 2

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