Odynophagia and dysphagia in HIV
From IDWiki
Background
Etiology
- Candida, by far the most common
- Herpes simplex virus
- Cytomegalovirus
- Aphthous ulcers
Management
- Often treated empirically as Candida, followed by upper endoscopy if no improvement within 5 to 7 days
- Fluconazole 200 mg PO once followed by 100 to 200 mg PO daily
- Patients with more prominent odynophagia are more likely to have a non-candidal cause