Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome

36-year-old male homosexual presented with a prolonged history of odynophagia. Esophageal candidiasis was suspected at endoscopy and confirmed by biopsy ane cultures. Investigations demonstrated no evidence for underlying human immunodeficiency virus (HIV) infection hy either ELISA assay or Wes1ern...

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Main Authors: Michael A Noble, J Scott Whittaker, Anil K Mangal, Cedric J Carter, Hugh J Freeman
Format: Article
Language:English
Published: Wiley 1987-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1987/954647
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author Michael A Noble
J Scott Whittaker
Anil K Mangal
Cedric J Carter
Hugh J Freeman
author_facet Michael A Noble
J Scott Whittaker
Anil K Mangal
Cedric J Carter
Hugh J Freeman
author_sort Michael A Noble
collection DOAJ
description 36-year-old male homosexual presented with a prolonged history of odynophagia. Esophageal candidiasis was suspected at endoscopy and confirmed by biopsy ane cultures. Investigations demonstrated no evidence for underlying human immunodeficiency virus (HIV) infection hy either ELISA assay or Wes1ern Blot technique, and lymphocyte helper: supressor ratios were normal. A specific serum-dependent factor that inhibited the candidacidal capability of his neutrophils, as well as those of volunteer controls, was detected. This inhibitor disappeared after treatment of the candidal infection. Severe and extensive esophagitis is not always indicative of an underlying infection with HIV in homosexual mnles. Clinical criteria alone should not be used to establish the diagnosis of AIDS, even in patients from recognized high risk categories.
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institution Kabale University
issn 0835-7900
language English
publishDate 1987-01-01
publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology
spelling doaj-art-3fd8bb9c82f54e04a0948ced4ff9404e2025-08-20T03:55:36ZengWileyCanadian Journal of Gastroenterology0835-79001987-01-0111333510.1155/1987/954647Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' SyndromeMichael A NobleJ Scott WhittakerAnil K MangalCedric J CarterHugh J Freeman36-year-old male homosexual presented with a prolonged history of odynophagia. Esophageal candidiasis was suspected at endoscopy and confirmed by biopsy ane cultures. Investigations demonstrated no evidence for underlying human immunodeficiency virus (HIV) infection hy either ELISA assay or Wes1ern Blot technique, and lymphocyte helper: supressor ratios were normal. A specific serum-dependent factor that inhibited the candidacidal capability of his neutrophils, as well as those of volunteer controls, was detected. This inhibitor disappeared after treatment of the candidal infection. Severe and extensive esophagitis is not always indicative of an underlying infection with HIV in homosexual mnles. Clinical criteria alone should not be used to establish the diagnosis of AIDS, even in patients from recognized high risk categories.http://dx.doi.org/10.1155/1987/954647
spellingShingle Michael A Noble
J Scott Whittaker
Anil K Mangal
Cedric J Carter
Hugh J Freeman
Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome
Canadian Journal of Gastroenterology
title Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome
title_full Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome
title_fullStr Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome
title_full_unstemmed Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome
title_short Candida Esophagitis in a Male Homosexual with Defective Neutrophil Function. A 'Pseudo-AIDS' Syndrome
title_sort candida esophagitis in a male homosexual with defective neutrophil function a pseudo aids syndrome
url http://dx.doi.org/10.1155/1987/954647
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