| Candida esophagitis in an immunocompetent pregnant woman. | |
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MedLine Citation:
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PMID: 18475336 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: Nausea and vomiting are common during the first half of pregnancy and usually require only supportive measures. When symptoms are progressive and weight loss occurs, treatable causes should be sought by means of upper gastrointestinal endoscopy. We report a case of an immunocompetent gravida with invasive Candida albicans esophagitis.Case: The immunocompetent primigravida developed progressive nausea, vomiting, epigastric pain, and a 4.1 kg weight loss during the second trimester of pregnancy. Treatment with metoclopramide and cimetidine for presumed gastroesophageal reflux was not effective. The patient had normal T-cell CD4 and CD8 subsets and was human immunodeficiency virus (HIV) antibody negative. Upper gastrointestinal endoscopy revealed C. albicans esophagitis which was treated with oral nystatin. The esophagitis had resolved completely when reassessed postpartum. The use of histamine(2) blockers is associated with an increased risk for fungal esophagitis and may have been a contributing cause in this case.Conclusion: Pregnant patients with persistent nausea, vomiting, and weight loss should be evaluated by endoscopy for fungal esophagitis. |
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Authors:
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J S Greenspoon; S Kivnick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Infectious diseases in obstetrics and gynecology Volume: 1 ISSN: 1064-7449 ISO Abbreviation: Infect Dis Obstet Gynecol Publication Date: 1993 |
Date Detail:
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Created Date: 2008-05-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9318481 Medline TA: Infect Dis Obstet Gynecol Country: Egypt |
Other Details:
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Languages: eng Pagination: 149-52 Citation Subset: - |
Affiliation:
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Division of Maternal-Fetal Medicine Department of Obstetrics-Gynecology Cedars-Sinai Medical Center Los Angeles CA USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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Journal Information Journal ID (nlm-ta): Infect Dis Obstet Gynecol ISSN: 1064-7449 ISSN: 1098-0997 Publisher: Hindawi Publishing Corporation |
Article Information Download PDF  Copyright ? 1993 Hindawi Publishing Corporation. open-access: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Received Day: 8 Month: 6 Year: 1993 Accepted Day: 19 Month: 10 Year: 1993 Print publication date: Year: 1993 Volume: 1 Issue: 3 First Page: 149 Last Page: 152 ID: 2364304 PubMed Id: 18475336 Publisher Item Identifier: S106474499300033X DOI: 10.1155/S106474499300033X |
| Candida Esophagitis in an Immunocompetent Pregnant Woman | |
| Jeffrey S. Greenspoon13 | |
| Seth Kivnick2 | |
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1Division of Maternal-Fetal MedicineDepartment of Obstetrics-GynecologyCedars-Sinai Medical CenterLos AngelesCAUSA |
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2Department of Obstetrics-GynecologyKdiser Foundation Hospital-West Los AngelesLos AngelesCAUSA |
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3Room 1738OB/GYNCedars-Sinai Medical Center8700 Beverly BoulevardLos AngelesCA90048USA |
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