Blastomycosis of the Esophagus Presenting With Gastrointestinal Bleeding

Robin McKenzie, Rashida Khakoo

Research output: Contribution to journalArticlepeer-review

Abstract

A patient with abdominal discomfort and hematemesis was found to have lower esophageal inflammation on endoscopy. A biopsy specimen from this area showed yeast forms of Blastomyces dermatitidis with a polymorphonuclear infiltrate and granuloma formation. Extensive evaluation showed no other bleeding site. Sputum samples obtained earlier also showed B. dermatitidis. Treatment with amphotericin B led to resolution of bleeding and eradication of the fungus on repeat biopsy and sputum samples. An esophageal stricture subsequently developed and required dilation. Seven previously reported cases of esophageal blastomycosis are reviewed.

Original languageEnglish (US)
Pages (from-to)1271-1273
Number of pages3
JournalGastroenterology
Volume88
Issue number5
DOIs
StatePublished - Jan 1 1985
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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