A 39-year-old man with untreated HIV (CD4 count 45 cells/μL) presents with odynophagia and retrosternal chest pain for 2 weeks. He denies antacid use. Vital signs show BP 118/76, HR 102, RR 18, Temp 37.8°C, SpO2 98% on room air. Upper endoscopy reveals white plaque-like lesions throughout the esophagus that can be scraped off, with no evidence of ulceration. Which of the following is the most likely diagnosis?
- A)Candida esophagitisGABARITO
- B)HSV esophagitis
- C)Pill esophagitis
- D)Eosinophilic esophagitis
- E)CMV esophagitis
Explicação
Candida esophagitis is common in immunocompromised patients and presents with odynophagia and white adherent plaques. Ver explicação completa e trilha adaptativa →