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Esophageal candidiasis

MedGen UID:
66784
Concept ID:
C0239295
Disease or Syndrome
Synonyms: Candida Esophagitis; Candida esophagitis; Candida of esophagus; candidal esophagitis; Candidiasis of esophagus; Candidiasis of the esophagus; candidiasis of the esophagus; candidiasis of the oesophagus; Candidosis of esophagus; esophageal candidiasis; esophageal moniliasis; Esophageal thrush; esophageal thrush
SNOMED CT: Esophageal thrush (20639004); Candidosis of esophagus (20639004); Candidiasis of esophagus (20639004); Candida of esophagus (20639004); Candidiasis of the esophagus (20639004)
 
HPO: HP:0033351
Monarch Initiative: MONDO:0001648

Definition

Candida infections of the esophagus are considered opportunistic infections and are seen most commonly in immunosuppressed patients, the most common symptoms being dysphagia, odynophagia, and retrosternal pain. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEsophageal candidiasis

Conditions with this feature

Candidiasis, familial, 9
MedGen UID:
906897
Concept ID:
C4225324
Disease or Syndrome
Any chronic mucocutaneous candidiasis in which the cause of the disease is a mutation in the IL17RC gene.
Inflammatory bowel disease, immunodeficiency, and encephalopathy
MedGen UID:
1648434
Concept ID:
C4748708
Disease or Syndrome
A rare genetic disease characterized by infantile onset of severe inflammatory bowel disease manifesting with bloody diarrhea and failure to thrive, and central nervous system disease with global developmental delay and regression, impaired speech, hypotonia, hyperreflexia, and epilepsy. Brain imaging shows global cerebral atrophy, thin corpus callosum, delayed myelination, and posterior leukoencephalopathy. Cases with recurrent infections and impaired T-cell responses to stimulation, as well as decreased T-cell subsets, have been reported.
Immunodeficiency 14b, autosomal recessive
MedGen UID:
1787468
Concept ID:
C5543301
Disease or Syndrome
Autosomal recessive primary immunodeficiency-14B (IMD14B) is characterized by onset of recurrent infections in early childhood. Most patients have respiratory infections, but some may develop inflammatory bowel disease or osteomyelitis. Laboratory studies tend to show hypogammaglobulinemia and decreased levels of B cells. Although NK cell and T cell numbers are normal, there may be evidence of impaired immune-mediated cytotoxicity and defective T-cell function (summary by et al., 2018 and et al., 2019).
Immunodeficiency 115 with autoinflammation
MedGen UID:
1847791
Concept ID:
C5882724
Disease or Syndrome
Immunodeficiency-115 with autoinflammation (IMD115) is an autosomal recessive disorder characterized by the onset of symptoms of immune dysregulation in early infancy. Affected individuals have immunodeficiency with recurrent bacterial, viral, and fungal infections, as well as autoinflammatory features, including arthritis and dermatitis. Some patients may have more systemic involvement, such as myopathy, gastrointestinal abnormalities, and anemia. Laboratory studies show variable B-cell and T-cell defects, sometimes with defective antibody responses and hypogammaglobulinemia (Boisson et al., 2015; Oda et al., 2019).
Hyper-IgE recurrent infection syndrome 1, autosomal dominant
MedGen UID:
1846538
Concept ID:
CN031130
Disease or Syndrome
STAT3 hyper IgE syndrome (STAT3-HIES) is a primary immune deficiency syndrome characterized by elevated serum IgE, eczema, and recurrent skin and respiratory tract infections, together with several nonimmune features. This disorder typically manifests in the newborn period with a rash (often diagnosed as eosinophilic pustulosis) that subsequently evolves into an eczematoid dermatitis. Recurrent staphylococcal skin boils and bacterial pneumonias usually manifest in the first years of life. Pneumatoceles and bronchiectasis often result from aberrant healing of pneumonias. Mucocutaneous candidiasis is common. Nonimmune features may include retained primary teeth, scoliosis, bone fractures following minimal trauma, joint hyperextensibility, and characteristic facial appearance, which typically emerges in adolescence. Vascular abnormalities have been described and include middle-sized artery tortuosity and aneurysms, with infrequent clinical sequelae of myocardial infarction and subarachnoid hemorrhage. Gastrointestinal (GI) manifestations include gastroesophageal reflux disease, esophageal dysmotility, and spontaneous intestinal perforations (some of which are associated with diverticuli). Fungal infections of the GI tract (typically histoplasmosis, Cryptococcus, and Coccidioides) also occur infrequently. Survival is typically into adulthood, with most individuals now living into or past the sixth decade. Most deaths are associated with gram-negative (Pseudomonas) or filamentous fungal pneumonias resulting in hemoptysis. Lymphomas occur at an increased frequency.

Professional guidelines

PubMed

Mohamed AA, Lu XL, Mounmin FA
Can J Gastroenterol Hepatol 2019;2019:3585136. Epub 2019 Oct 20 doi: 10.1155/2019/3585136. PMID: 31772927Free PMC Article
Vinit C, Dieme A, Courbage S, Dehaine C, Dufeu CM, Jacquemot S, Lajus M, Montigny L, Payen E, Yang DD, Dupont C
Arch Pediatr 2019 Apr;26(3):182-190. Epub 2019 Mar 1 doi: 10.1016/j.arcped.2019.02.005. PMID: 30827775
Pappas PG, Kauffman CA, Andes D, Benjamin DK Jr, Calandra TF, Edwards JE Jr, Filler SG, Fisher JF, Kullberg BJ, Ostrosky-Zeichner L, Reboli AC, Rex JH, Walsh TJ, Sobel JD; Infectious Diseases Society of America
Clin Infect Dis 2009 Mar 1;48(5):503-35. doi: 10.1086/596757. PMID: 19191635Free PMC Article

Recent clinical studies

Etiology

Mohamed AA, Lu XL, Mounmin FA
Can J Gastroenterol Hepatol 2019;2019:3585136. Epub 2019 Oct 20 doi: 10.1155/2019/3585136. PMID: 31772927Free PMC Article
Vinit C, Dieme A, Courbage S, Dehaine C, Dufeu CM, Jacquemot S, Lajus M, Montigny L, Payen E, Yang DD, Dupont C
Arch Pediatr 2019 Apr;26(3):182-190. Epub 2019 Mar 1 doi: 10.1016/j.arcped.2019.02.005. PMID: 30827775
Pappas PG, Kauffman CA, Andes D, Benjamin DK Jr, Calandra TF, Edwards JE Jr, Filler SG, Fisher JF, Kullberg BJ, Ostrosky-Zeichner L, Reboli AC, Rex JH, Walsh TJ, Sobel JD; Infectious Diseases Society of America
Clin Infect Dis 2009 Mar 1;48(5):503-35. doi: 10.1086/596757. PMID: 19191635Free PMC Article
Vazquez JA, Sobel JD
Infect Dis Clin North Am 2002 Dec;16(4):793-820, v. doi: 10.1016/s0891-5520(02)00042-9. PMID: 12512182
Naito Y, Yoshikawa T, Oyamada H, Tainaka K, Morita Y, Kogawa T, Sugino S, Kondo M
Gastroenterol Jpn 1988 Aug;23(4):363-70. doi: 10.1007/BF02779203. PMID: 3181663

Diagnosis

Mohamed AA, Lu XL, Mounmin FA
Can J Gastroenterol Hepatol 2019;2019:3585136. Epub 2019 Oct 20 doi: 10.1155/2019/3585136. PMID: 31772927Free PMC Article
Vinit C, Dieme A, Courbage S, Dehaine C, Dufeu CM, Jacquemot S, Lajus M, Montigny L, Payen E, Yang DD, Dupont C
Arch Pediatr 2019 Apr;26(3):182-190. Epub 2019 Mar 1 doi: 10.1016/j.arcped.2019.02.005. PMID: 30827775
Pappas PG, Kauffman CA, Andes D, Benjamin DK Jr, Calandra TF, Edwards JE Jr, Filler SG, Fisher JF, Kullberg BJ, Ostrosky-Zeichner L, Reboli AC, Rex JH, Walsh TJ, Sobel JD; Infectious Diseases Society of America
Clin Infect Dis 2009 Mar 1;48(5):503-35. doi: 10.1086/596757. PMID: 19191635Free PMC Article
Vazquez JA, Sobel JD
Infect Dis Clin North Am 2002 Dec;16(4):793-820, v. doi: 10.1016/s0891-5520(02)00042-9. PMID: 12512182
Naito Y, Yoshikawa T, Oyamada H, Tainaka K, Morita Y, Kogawa T, Sugino S, Kondo M
Gastroenterol Jpn 1988 Aug;23(4):363-70. doi: 10.1007/BF02779203. PMID: 3181663

Therapy

Mohamed AA, Lu XL, Mounmin FA
Can J Gastroenterol Hepatol 2019;2019:3585136. Epub 2019 Oct 20 doi: 10.1155/2019/3585136. PMID: 31772927Free PMC Article
Bhattacharya M, Rajeshwari K, Dhingra B
J Postgrad Med 2010 Apr-Jun;56(2):163-7. doi: 10.4103/0022-3859.65281. PMID: 20622401
Pappas PG, Kauffman CA, Andes D, Benjamin DK Jr, Calandra TF, Edwards JE Jr, Filler SG, Fisher JF, Kullberg BJ, Ostrosky-Zeichner L, Reboli AC, Rex JH, Walsh TJ, Sobel JD; Infectious Diseases Society of America
Clin Infect Dis 2009 Mar 1;48(5):503-35. doi: 10.1086/596757. PMID: 19191635Free PMC Article
Jeu L, Piacenti FJ, Lyakhovetskiy AG, Fung HB
Clin Ther 2003 May;25(5):1321-81. doi: 10.1016/s0149-2918(03)80126-1. PMID: 12867215
Raufman JP
Gastroenterol Clin North Am 1988 Sep;17(3):599-614. PMID: 3049365

Prognosis

Bahr NC, Benedict K, Toda M, Gold JAW, Lipner SR
J Am Acad Dermatol 2024 Jul;91(1):119-122. Epub 2024 Mar 9 doi: 10.1016/j.jaad.2024.02.045. PMID: 38462134Free PMC Article
Mohamed AA, Lu XL, Mounmin FA
Can J Gastroenterol Hepatol 2019;2019:3585136. Epub 2019 Oct 20 doi: 10.1155/2019/3585136. PMID: 31772927Free PMC Article
Batac MCR, Denning D
Eur J Clin Microbiol Infect Dis 2017 Jun;36(6):937-941. Epub 2017 Feb 21 doi: 10.1007/s10096-017-2918-7. PMID: 28220322Free PMC Article
Bustamante B, Denning DW, Campos PE
Eur J Clin Microbiol Infect Dis 2017 Jun;36(6):943-948. Epub 2017 Feb 10 doi: 10.1007/s10096-017-2924-9. PMID: 28188491
Thom K, Forrest G
Curr Opin Gastroenterol 2006 Jan;22(1):18-23. doi: 10.1097/01.mog.0000196149.29077.0d. PMID: 16319672

Clinical prediction guides

Cohen DL, Nakash S, Bermont A, Richter V, Shirin H
South Med J 2023 Aug;116(8):701-706. doi: 10.14423/SMJ.0000000000001591. PMID: 37536701
Mohamed AA, Lu XL, Mounmin FA
Can J Gastroenterol Hepatol 2019;2019:3585136. Epub 2019 Oct 20 doi: 10.1155/2019/3585136. PMID: 31772927Free PMC Article
Batac MCR, Denning D
Eur J Clin Microbiol Infect Dis 2017 Jun;36(6):937-941. Epub 2017 Feb 21 doi: 10.1007/s10096-017-2918-7. PMID: 28220322Free PMC Article
Chandrasekar PH, Sobel JD
Clin Infect Dis 2006 Apr 15;42(8):1171-8. Epub 2006 Mar 14 doi: 10.1086/501020. PMID: 16575738
Naito Y, Yoshikawa T, Oyamada H, Tainaka K, Morita Y, Kogawa T, Sugino S, Kondo M
Gastroenterol Jpn 1988 Aug;23(4):363-70. doi: 10.1007/BF02779203. PMID: 3181663

Recent systematic reviews

Ford AC, Peyrin-Biroulet L
Am J Gastroenterol 2013 Aug;108(8):1268-76. Epub 2013 May 7 doi: 10.1038/ajg.2013.138. PMID: 23649185
Elliott EJ, Thomas D, Markowitz JE
Cochrane Database Syst Rev 2010 Mar 17;2010(3):CD004065. doi: 10.1002/14651858.CD004065.pub3. PMID: 20238328Free PMC Article

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