TRUNG TAM Y KHOA MED

PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

NOI SOI
MEDIC

Infections of esophagus

NGUYEN TH THANH THAO

CME

MEDIC 254 Hoa Hao Q. 10 TP. Ho Ch Minh

T: 8357284 8355 136 fax: 8488352543 email: medic@hcm. vnn. vn

EXIT

TRUNG TAM Y KHOA ME

VIRAL ESOPHAGITIS
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Herpes Simplex.
Immuno histologic or viral culture technique.
Cytomegalovirus (CMV).

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

1/ -Incidence:
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Immunosuppressed patients:

NOI SOI
MEDIC
Antineoplastic treatment.
Transplantation.
AIDS.

Viral infection + Herpes of mouth and lip.

MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

2/ - Pathogenesis
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Herpes

squamous
cell.
ulcertative
esophagitis.
Intranuclear inclusions bodies.
CMV subepithelial cell large ulcers.
Immunosuppressed patient.
Blood transfusion.

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

3/ - Clinical finding
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Healthy person: viral infection.

NOI SOI
MEDIC
Herpes of the lip.
Dysphagia.

AIDS:

Ulcer, dysphagia,
bleeding.

odynophagia,

MEDIC 254 Hoa Hao Q. 10 TP.

chest

pain,

EXIT

TRUNG TAM Y KHOA ME

4/ - Treatment
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Normal persons:

NOI SOI
MEDIC
Symptomatic 0.
Antacids.
H2 blockers.

Immunosuppressed patients:
Antiviral agent:
Acyclovir.
Gancyclovir.

Steroid therapy.

MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA MED

PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Monilial Esophagitis
(Candida Esophagitis)

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP. Ho Ch Minh
T: 8357284 8355 136 fax: 8488352543 email: medic@hcm. vnn. vn

EXIT

TRUNG TAM Y KHOA ME

1- Incidence
A. Immunosuppressed patients:

PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

NOI SOI
MEDIC
AIDS.
Organ transplantation.

B. Cancer patients:
Irradiation.
Chemotherapy.

C. Steroid therapy.
D. Chronic disorders:

Diabetes mellitus.
Aplastic anemia.

E. Esophageal stasis:

Systemic sclerosis.
Achalasia.

F. Healthy person: antibiotics (rare).

CME

MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

2/ - Pathology
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Pseudomembrane: mouth, esophagus.

Ulceration.
Stricture.

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

3/ - Clinical findings
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Patient at high risk

Sore
throat,
odynophagia
retrosternal pain on swallowing.

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

,dysphagia,

EXIT

TRUNG TAM Y KHOA ME

4 - Diagnosis:
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Culture.
Endoscopy: whitish - yellow exudate brushing
mycelial forms of monilium.
Not all patients need to undergo endoscopy to
confirm a clinical diagnosis of moniliasis.
AIDS + odynophagia oral candidasis

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

5- Treatment
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

Mycostatin (10 days).

Ketoconazole, flconazole.

NOI SOI
MEDIC
AIDS oral candidasis:
Mycostatin.

Esophagitis

Ketoconazole (dose 2).

Fluconazole.

MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

6- Prognosis:
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

NOI SOI
MEDIC

Healthy person: quick and complete healing

without sequelea.
Treatment antifungal: 0 with antibiotics or
steroid therapy (cotinued).
Neoplasm Treatment antifungal depend on
this disease.
AIDS healing after months of treatment.

MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

CANDIDA THC QUAN
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

CANDIDA THC QUAN
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

CANDIDA THC QUAN
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

CANDIDA THC QUAN
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT

TRUNG TAM Y KHOA ME

CANDIDA THC QUAN
PHONG
KHAM
X QUANG
CT SCAN
MRI
DSA
SIEU AM
NOI SOI
XET
NGHIEM

CME

NOI SOI
MEDIC
MEDIC 254 Hoa Hao Q. 10 TP.

EXIT