CMV esophagitis: Difference between revisions
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==Clinical Presentation== | ==Clinical Presentation== | ||
*[[Odynophagia]] | |||
*[[Dysphagia]] | |||
*[[Fever]] | |||
*[[Naseau]] | |||
*Substernal burning pain | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 00:38, 5 August 2015
Background
Clinical Presentation
- Odynophagia
- Dysphagia
- Fever
- Naseau
- Substernal burning pain
Differential Diagnosis
Esophagitis Types
- Inflammatory
- GERD
- Allergic (eosinophilic)
- Infectious Mainly seen in patients w/ immunosuppression (HIV/AIDS, cancer, steroids)
- Esophageal candidiasis: often an AIDS defining lesion
- HSV
- CMV esophagitis
- aphthous ulceration
- Medication-induced (i.e. "pill") esophagitis, common culprits:
- Doxycycline
- Tetracycline
- Clindamycin
- NSAIDs
- ASA
- Bisphosphonates
- Ferrous sulfate
- Potassium chloride
- Ascorbic acid
CMV Diseases
Diagnosis
Management
Disposition
Antivirals
- Ganciclovir 5mg/kg IV q12hrs daily x 21 days (or until symptom resolution)
- Foscarnet 90mg/kg IV q12 hrs daily x 21 days (or until symptom resolution)