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Old 07-01-2012
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GIT Esophagitis treatment?

What is the treatment for
1- CMV esophagitis
2- Herpes esophagitits in HIV patients?


Also T.cruzi causes mega esophagus--- wud the C/F be similar to achalasia or scleroderma?

Last edited by mbbs2010; 07-01-2012 at 09:06 AM.
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Old 07-01-2012
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Quote:
Originally Posted by mbbs2010 View Post
What is the treatment for

1-CMV esophagitis >>>>> ganciclovir/foscarnet as second-line therapy

2- HErpes esophagitits in HIV patients? >>>> acyclovir/famciclovir/valacyclovir


Also T.cruzi causes mega esophagus--- wud the C/F be similar to achalasia or scleroderma?
Chagas Disease is a cause of secondary achalasia

Quote:
Salient features on gross examination of the colon or esophagus in patients with chronic chagasic gastrointestinal disease (megadisease) include dilatation and muscular hypertrophy of the affected organs.[34, 35] Focal inflammatory lesions with lymphocytic infiltration are visible on microscopy. The number of neurons in the myenteric plexus is often markedly reduced, and periganglion and intraganglion fibrosis with accompanying Schwann cell proliferation, along with lymphocytosis, are present. In most patients with megadisease, the functional effects of this parasympathetic denervation are limited to the esophagus or colon, but clinically manifest dysfunctions of the ureters, biliary tree, and other hollow viscera have been reported.
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