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Jornal Português de Gastrenterologia

versão impressa ISSN 0872-8178

J Port Gastrenterol. v.14 n.3 Lisboa maio 2007

 

Esófago Negro Associado a Infecção por Candida Albicans, Aspergillus e Actinomyces

 

S. Ferreira1, I. Claro1, R. Sousa1, E. Vitorino2, P. Lage1, P. Chaves2, A. Fernandes3, C. Nobre Leitão1

 

Resumo

O esófago negro, ou esofagite necrosante aguda, é uma entidade rara, diagnosticada durante a realização de endoscopia digestiva alta. A sua etiologia não se encontra completamente esclarecida, assumindo--se que será provavelmente multifactorial. Os autores descrevem o primeiro caso de esófago negro associado a infecção por Candida albicans, Aspergillus e Actinomyces, num doente imunodeprimido por doença oncológica, com um quadro de vómitos persistentes. Discutem-se ainda os aspectos etiopatogénicos e as implicações clínicas dos aspectos endoscópicos e histopatológicos.

 

Summary

Black esophagus, or acute necrotizing esophagitis, is a rare condition detected by upper endoscopy. Its exact etiology still remains unknown but is most likely multifactorial. The authors report, for the first time, a case of black esophagus associated with Candida albicans, Aspergillus and Actinomyces esophagitis, occurring in an immunosuppressed cancer patient with prolonged vomiting. Etiopathogenesis and clinical implications of the endoscopic and histopathological findings are also discussed.

 

 

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(1) Serviço de Gastrenterologia.

(2) Serviço de Anatomia Patológica.

(3) Serviço de Oncologia Médica.

Instituto Português de Oncologia de Lisboa de Francisco Gentil, E.P.E., Lisboa, Portugal.

 

Correspondência:

Sara Ferreira

Serviço de Gastrenterologia

Instituto Português de Oncologia de Lisboa de Francisco Gentil, E.P.E.

Rua Professor Lima Basto

1099-23 Lisboa

saragferreira@netcabo.pt

Tlm.: 938836991

Fax: 217229855

 

Recebido para publicação: 22/11/2006

Aceite para publicação: 13/02/2007