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Candida Esophagitis Stricture

Imaging findings

Barium esophagram shows fixed narrowing and a shaggy mucosal appearance in the distal esophagus above the vestibule. CT shows barium stasis and fluid in the esophagus. Endoscopy confirmed severe Candida esophagitis with a benign stricture.

Key takeaways

Severe Candida esophagitis can cause mucosal sloughing, ulceration, and eventually lead to benign esophageal strictures (typically in the distal third), which present as a fixed stenosis on esophagrams.

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