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Case of the Week 332




What's the most likely diagnosis?

  • 36 year-old male with odynophagia and CD4 count of 30



  1. Candidiasis
  2. Herpes esophagitis
  3. Esophageal varices
  4. Kaposi's sarcoma
  5. HIV esophagitis

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Answer:


5. HIV Esophagitis

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HIV Esophagitis

General Considerations

  • Most patients with HIV related esophagitis have Candidiasis
  • Other pathogens include cytomegalovirus (CMV), herpes simples virus (HSV) and Mycobacterium-avium intracellulare (MAI)
  • HIV (idiopathic) esophagitis may be the cause if no other pathogens are found

More ...


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LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.