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Dysphagia secondary to invasive candidiasis of a jejunal free flap

Published online by Cambridge University Press:  29 June 2007

C. A. Ayshford ,
R. M. Walsh  and
J. C. Watkinson
C. A. Ayshford*
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK
R. M. Walsh
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK
J. C. Watkinson
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK
*
Address for correspondence: Mr C. A. Ayshford, Department of Otolaryngology, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TN
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Abstract

The presence of a mass in a jejunal free flap that causes dysphagia less than two years after a pharyngolaryngectomy for carcinoma usually indicates tumour recurrence. We present a case of invasive candidiasis of a jejunal free flap presenting with dysphagia and a mass. To our knowledge this is previously unreported. Such a cause should always be considered in the differential diagnosis, as early recognition and treatment are likely, to result in a favourable outcome.

Keywords

CandidiasisSurgical flaps
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1090 - 1091
Copyright
Copyright © JLO (1984) Limited 1998

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References

Athey, P. A., Goldstein, H. M., Dodd, G. D. (1977) Radiologic spectrum of opportunistic infections of the upper gastrointestinal tract. American Journal of Roentgenology Radium Therapy and Nuclear Medicine 129: 419–424.CrossRefGoogle ScholarPubMed
Ell, S. R., Mitchell, A. J., Parker, A. J. (1995) Microbial colonization of the Groningen speaking valve and its relationship to valve failure. Clinical Otolaryngology 20: 555–556.CrossRefGoogle ScholarPubMed
Gluckman, J. L., McDonough, J., Donegan, J. O. (1982) The role of the free jejunal graft in reconstruction of the pharynx and cervical esophagus. Head and Neck Surgery 4: 360–369.CrossRefGoogle ScholarPubMed
Gluckman, J. L., McCafferty, G. J., Black, R. J., Coman, W. B., Cooney, T. C, Bird, R. J., Robinson, D. W. (1985) Complications associated with free jejunal graft reconstruction of the pharyngoesophagus – a multi-institutional experience with 52 cases. Head and Neck Surgery 7: 200–205.CrossRefGoogle Scholar
Ho, C. S., Cullen, J. B., Gray, R. R. (1977) An unusual manifestation of esophageal monoliasis. Radiology 123: 287–288.CrossRefGoogle Scholar
Mahieu, H. E., van Saene, J. J. M., den Besten, J., van Saene, H. K. F. (1986) Oropharynx decontamination preventing Candida vegetations on voice prosthesis. Archives of Otolaryngology, Head and Neck Surgery 112: 1090–1092.CrossRefGoogle Scholar
Martin, M. V., Al-Tikriti, U., Bramley, P. A. (1981) Yeast flora of the mouth and skin during and after irradiation for oral and laryngeal cancer. Journal of Medical Microbiology 14: 457–467.CrossRefGoogle ScholarPubMed
McConnel, F. M. S., Hester, T. R., Nahai, F., Jurkiewicz, M. J., Brown, R. C. (1981) Free jejunal grafts for reconstructionof pharynx and cervical esophagus. Archives of Otolaryngology 107: 476–481.CrossRefGoogle Scholar