Candida esophagitis incidentally detected by 18F-FDG PET/CT in a patient with CNS lymphoma

Bayar M., Yurttas N. O., Bilgic S., Karakus K., ÖNAL U., Sonmezoglu K., ...More

CLINICAL CASE REPORTS, vol.9, no.5, 2021 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 9 Issue: 5
  • Publication Date: 2021
  • Doi Number: 10.1002/ccr3.4322
  • Journal Name: CLINICAL CASE REPORTS
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
  • Bursa Uludag University Affiliated: No

Abstract

Corticosteroids are commonly used in lymphoma patients, and findings in favor of esophageal involvement in 18F-FDG PET-CT should be considered suspicious and definitely be confirmed by biopsy. We describe a 58-year-old lady with diffuse large B-cell lymphoma and central nervous system involvement having an increased metabolism in the distal esophagus with 18F-FDG PET/CT, which was consistent with esophageal candidiasis, most probably due to prolonged use of dexamethasone. Esophageal candidiasis can be misdiagnosed as malignancy with a high SUVmax and may lead to difficulties while managing these patients.