Published in:
01-04-2020 | Fluconazole | UNM CLINICAL CASE CONFERENCES
A Holistic Approach to Diagnosing and Treating Dysphagia
Authors:
Diego Colom Steele, Chinemerem Okwara, Denis McCarthy
Published in:
Digestive Diseases and Sciences
|
Issue 4/2020
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Abstract
We report a 39-year-old Native American female with an almost 20-year history of dysphagia that had increased in the 6 months prior to the initial evaluation. Investigation revealed a number of distinct esophageal disorders including Plummer–Vinson syndrome, gastroesophageal reflux disease with esophagitis, distal esophageal stricture, esophageal intramural pseudo-diverticulosis, and recurrent esophageal Candida infections. Although prolonged therapy with proton pump inhibitors, fluconazole, nystatin, and repeated esophageal balloon dilations relieved her symptoms, her prognosis remains uncertain.