Corrosive Esophagitis Caused by ingestion of strongly acidic or basic chemical Lye, HCl Results in esophageal perforation esophageal stricture formation Infectious Esophagitis Commonly seen in AIDS patients May be viral or fungal HSV-1 mutiple punched-out ulcers throughout esophagus with normal mucousa ulcers can coalese and form "black esophagus" histology will show eosinophilic intranuclear inclusions (Cowdry type A) and multinucleated squamous cells surrounding the ulcers on biopsy CMV single, large, shallow, linear ulcer Candida Odynophagia is main symptom
QUESTIONS 1 of 1 1 Previous Next (M1.GI.15.37) A 28-year-old Caucasian male with a history of oral thrush presents to the gastroenterologist with painful swallowing Image (Figure A). An endoscopy is performed, which reveals "punched out" ulcerations on the esophagus (Figure B). Biopsy of one ulceration reveals eosinophilic intranuclear inclusions and multinucleated squamous cells at the edges of the ulcer. What is the most likely cause of this patient's dysphagia? Tested Concept QID: 101094 FIGURES: A B Type & Select Correct Answer 1 Esophageal carcinoma 5% (2/38) 2 Candida 26% (10/38) 3 Cytomegalovirus 16% (6/38) 4 Herpes simplex virus 1 42% (16/38) 5 Cryptosporidium 3% (1/38) M 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review tested concept