<Emphasis Type="Italic">Candida</Emphasis> esophagitis complicated by an esophago-airway fistula: Report of a case |
| |
Authors: | Ryu Kanzaki Masahiko Yano Ko Takachi Shingo Ishiguro Masaaki Motoori Kentaro Kishi Isao Miyashiro Osamu Ishikawa Shingi Imaoka |
| |
Institution: | (1) Department of Intensive Care Medicine, Medical School, University of Athens, Athens, Greece;(2) Intensive Care Unit, “G. Gennimatas” General Hospital, Athens, Greece;(3) Department of Medicine, University of Crete School of Medicine, Heraklion, Crete, Greece;(4) Alfa Institute of Biomedical Sciences (AIBS), 9 Neapoleos Street, 151 23 Marousi, Athens, Greece;(5) Department of Medicine, Tufts University School of Medicine, Boston, MA, USA; |
| |
Abstract: | Candida esophagitis rarely involves life-threatening complications, such as necrosis, perforation, or fistula formation between the
esophagus and the airway. We herein report a case of Candida esophagitis complicated by esophagobronchial and esophagopulmonary fistulas. The patient in our study was a 70-year-old man
with a 3-month history of dysphagia. Based on endoscopy and histological findings, he was diagnosed with a coinfection of
Candida spp. and herpes simplex virus. Antifungal and antiviral therapy was administered without success. The esophagopulmonary fistula
formation and a lung abscess were identified 7 months later. The patient was deemed intolerable to an esophagectomy due to
his poor general condition, thus necessitating a two-stage operation. A cervical esophagostomy and a tube drainage of the
thoracic esophagus were followed by an esophageal bypass using the pedicled jejunum via an antethoracic route. Although the
lung abscess resolved, the inflammation of the esophagus persisted. A fistula between the esophagus and the left main bronchus
eventually formed postoperatively and the patient died due to respiratory failure. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|