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Ann Thorac Surg 1999;67:231-233
© 1999 The Society of Thoracic Surgeons

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Case Reports

Surgical management of necrotizing Candida esophagitis

^a Section of General Thoracic Surgery, Rhode Island Hospital, Providence, Rhode Island, USA
^b Department of Anesthesiology, Brown University, Providence, Rhode Island, USA
^c Department of Internal Medicine, Brown University, Providence, Rhode Island, USA
^d Department of Surgery, Brown University, Providence, Rhode Island, USA

Accepted for publication June 10, 1998.

Address reprint requests to Dr Gaissert, 2 Dudley St, Suite 470, Providence, RI 02905
e-mail: (Henning_Gaissert{at}brown.edu)

Invasive esophageal candidiasis produced transmural necrosis leading to perforation in 2 patients aged 10 and 27 years. Both patients survived after esophageal resection and complete diversion. One patient with acute leukemia and neutropenia experienced systemic candidiasis, which resolved after esophagectomy. Esophagectomy and diversion for yeast-induced necrosis may lead to complete recovery and resolution of disseminated candidiasis when combined with systemic antifungal therapy.

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				M. Gock, M. Schafer, A. Perren, N. Demartines, and P.-A. Clavien Fatal Esophageal Perforation Caused by Invasive Candidiasis Ann. Thorac. Surg., September 1, 2005; 80(3): 1120 - 1122. [Abstract] [Full Text] [PDF]

				H. A. Gaissert, C. L. Roper, G. A. Patterson, and H. C. Grillo Infectious necrotizing esophagitis: outcome after medical and surgical intervention Ann. Thorac. Surg., February 1, 2003; 75(2): 342 - 347. [Abstract] [Full Text] [PDF]