Mitchell S. Cappell, MD, PhD; Berj P. Armenian, MD
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To the Editors: We describe a patient with human immunodeficiency virus (HIV) infection who experienced odynophagia and who, at endoscopy, had a thin cheesy exudate caused by infection with Exophiala jeanselmei, an opportunistic pathogen recently reported to cause other deep-seated infections in immunocompromised patients (1). Our report shows that this fungal infection may mimic the clinical presentation and endoscopic appearance of esophageal candidiasis. Recognizing infection with E. jeanselmei may be important because the clinical response to therapy for this infection is not well characterized and may be different from that for candidiasis. Fungal cultures are required to differentiate between the
Cappell MS, Armenian BP. Esophagitis from Candida or Exophiala?. Ann Intern Med. ;115:69. doi: 10.7326/0003-4819-115-1-69_1
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Published: Ann Intern Med. 1991;115(1):69.
Esophageal Disorders, Gastroenterology/Hepatology, Infectious Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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