CMV esophagitis

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

• CMV esophagitis
• CMV colitis
• CMV pneumonia
• CMV retinitis
• CMV neurologic disease

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)

See Also

• Cytomegalovirus (CMV) infection