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The "Foamy" Esophagus

A Radiographic Sign of Candida Esophagitis

¹ All authors: Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.

OBJECTIVE. The purpose of this study was to describe the radiographic features of the "foamy" esophagues, a new sign of Candida esophagitis seen on double-contrast esophagography, in six patients.

CONCLUSION. The foamy esophagus was characterized by innumerable tiny (1-3 mm), round lucencies (bubbles) that intermingled with the barium suspension along the top of the barium column, producing a layer of foam. Candida esophagitis should be strongly suspected when a foamy esophagus is detected on double-contrast esophagography, particularly in patients with underlying esophageal involvement by scleroderma.

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