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Figure 1. Acute, severe odynophagia developed in a 52-year-old man known to be positive for the human immunodeficiency virus (HIV). A double-contrast esophagogram (Panel A) shows two giant, ovoid ulcers (arrows) measuring 3 cm and 6 cm in length in the middle and distal thirds of the esophagus, respectively. An endoscopic photograph of the mid-portion of the esophagus (Panel B) shows the proximal ulcer to be a deep lesion with well-demarcated margins (arrows). The distal ulcer had a similar appearance, and the mucosa between the lesions was grossly normal, without exudates or plaques. Endoscopic brushings, biopsy specimens, and cultures . . . [Full Text of this Article] |
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