The Approach to the Patient With HIV With Specific Symptom Complexes/Common Presentations
Summary
- Candida esophagitis, herpes simplex esophagitis, and cytomegalovirus esophagitis are the main opportunistic causes of dysphagia in patients with CD4+ cell counts < 200 cells/mm3 (Table 1)
- If no improvement with antifungal therapy, upper endoscopy is typically necessary to determine etiology for presumed Candida esophagitis
- For patients with higher CD4+ cell counts, causes of dysphagia may be similar to those seen in the general population
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