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CASE REPORT
Recurrent episodes of esophageal candidiasis without dysphagia post-Guillain-Barré syndrome: an unusual presentation of achalasia
  1. Daniel Runggaldier,
  2. Michael Fried,
  3. Daniel Pohl
  1. Department of Gastroenterology and Hepatology, University Hospital of Zurich, Zurich, Switzerland
  1. Correspondence to PD Dr. med. Daniel Pohl, Daniel.Pohl{at}usz.ch

Summary

Here, we present a case of a 50-year-old male with a history of a Guillain-Barré-syndrome, who was referred to our clinic with recurrent esophageal candidiasis and long-standing intermittent retrosternal cramps for further evaluation. Other symptoms such as dysphagia, regurgitations and weight loss were denied, and prior repeated endoscopy was otherwise unremarkable. Using high resolution impedance manometry, we could demonstrate a panesophageal pressure increase on water swallows and complete aperistalsis of the tubular esophagus, indicating achalasia type II. However, due to the patient’s extraordinary body height and resulting length of the esophagus, endoluminal functional lumen imaging probe analysis supplementary to high resolution impedance manometry needed to be used to assess distensibility of the esophagogastral junction and to secure the diagnosis of achalasia before appropriately treating the patient with pneumatic dilation.

  • Neurogastroenterology
  • Oesophagus

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Footnotes

  • Contributors DR was involved in the writing of manuscript and data analysis. MF was responsible for the editing of manuscript and patient care. DP was involved in the data analysis, editing of manuscript and patient care.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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