A pediatric patient with eosinophilic esophagitis presenting with candida esophagitis: Case report Candida özofajiti ile prezente olan eozinofilik özofajitli bir çocuk hasta: Olgu sunumu


Arslan M., BALAMTEKİN N., GÜNAL A.

Guncel Pediatri, cilt.18, sa.2, ss.276-284, 2020 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.4274/jcp.2020.0024
  • Dergi Adı: Guncel Pediatri
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database
  • Sayfa Sayıları: ss.276-284
  • Anahtar Kelimeler: Bone mineral density, Hemophilia, Target joint, Vitamin D
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

INTRODUCTION: Eosinophilic esophagitis is a clinicopathological diagnosis characterized by eosinophilic inflammation in esophageal biopsy specimens and esophageal dysfunction. Clinical findings vary according to age groups, but includes irritability, food rejection, failure to thrive, vomiting, regurgitation, chest-abdominal pain, solid food dysphagia and heartburn. Both children and adult patients with eosinophilic esophagitis frequently present with concomitant allergic diseases (eg, asthma, eczema, allergic rhinitis). Candida esophagitis is a candidial infection of the esophagus and is often reported in patients with immunodeficiency in childhood. It is a very rare clinical condition in children without immune deficiency and is reported may to be associated with untreated chronic gastroesophageal reflux disease. CASE REPORT: A 7-year-old male patient, who was followed up with cow's milk protein allergy, underwent esophagogastroduodenoscopy for dyspeptic complaints and reflux symptoms, was diagnosed as candida esophagitis and eosinophilic esophagitis and in this article is presented. CONCLUSIONS: Eosinophilic esophagitis, one of the diseases associated with chronic damage of the esophageal mucosa and candida esophagitis, which usually occurs as an opportunistic infection on the ground of unhealthy esophageal mucosa in people without immunodeficiency, has been reported together for the first time in the literature. Clinicians should keep in mind that patients with eosinophilic esophagitis may also have candida esophagitis.