Because it is an infectious cause of gastroesophagitis especially in immunosuppressed pts. Another rare cause would be Salmonella Typhymurium infection.
Would you happen to know what makes the plaques appear black? I'm used to thinking of candida as white. Artifact from preservation?
Thanks! The color's what made me think aspergillus.
Meaning the black color of the spots? ....The presence of the spots made me think H. Pylori hence my previous answer but now i know its the Albicans !
I think if a hx of immunosuppression was given we'd all probably figure out C.Albicans , but i guess not everyday is a sunday😂.
I deal with patients with this problem all the time. Because we use quite a bit of immunosuppressive therapy day by day. So candidiasis of GI tract is not uncommon.
Emergency Medicine Resident
How would you treat a pt with this?
There are several treatment regimes, one is oral nystatin 500000 units swish and swallow qid for 10 days or you could use Oral fluconazole 150 mg/day for 10 days
Chronic alcohol abuse?
I'm guessing H Pylori, looks like some ulcers in there and that could be coagulated blood in the black spots
Congratulations to the ones who got it right! This is Candida living in the stomach. It is really hard to find in the literature, because everyone usually focus in the #Esophagus, but it is associated with #Immunosuppression. Would be important to keep it in mind as an etiologic agent for gastric problems in this kind of population.
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