{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:11:12Z","timestamp":1785435072132,"version":"3.56.0"},"reference-count":9,"publisher":"Akademiai Kiado Zrt.","issue":"22","license":[{"start":{"date-parts":[[2023,6,4]],"date-time":"2023-06-04T00:00:00Z","timestamp":1685836800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,6,4]]},"abstract":"<jats:p>A nyel\u0151cs\u0151 gomb\u00e1s megbeteged\u00e9se a leggyakoribb fert\u0151z\u0151 betegs\u00e9ge a nyel\u0151cs\u0151nek. A\n                    diagn\u00f3zis fel\u00e1ll\u00edt\u00e1s\u00e1hoz gasztroszk\u00f3pia \u00e9s sok esetben sz\u00f6vettani mintav\u00e9tel\n                    sz\u00fcks\u00e9ges. Amennyiben egy\u00e9rtelm\u0171 hajlamos\u00edt\u00f3 t\u00e9nyez\u0151 nem lelhet\u0151 fel, a beteget\n                    kezel\u0151 orvosok k\u00f6z\u00f6s felel\u0151ss\u00e9ge a betegs\u00e9get kiv\u00e1lt\u00f3 kr\u00f3nikus k\u00f3r\u00e1llapotok\n                    felismer\u00e9se vagy kiz\u00e1r\u00e1sa, hogy ne csak a k\u00f6vetkezm\u00e9nyes betegs\u00e9get kezelj\u00fck,\n                    hanem az esetleges s\u00falyosabb alapbetegs\u00e9get is. Ezen ismeret hi\u00e1ny\u00e1ban sok\n                    esetben dokument\u00e1lhat\u00f3an h\u00f3napokat, \u00e9veket k\u00e9shet a helyes diagn\u00f3zis, ami az\n                    eredm\u00e9nyes kezel\u00e9st is vesz\u00e9lyeztetheti. A jelen esetben egy 58 \u00e9ves, kr\u00f3nikus\n                    betegs\u00e9gben nem szenved\u0151 n\u0151beteget mutatunk be, aki nyel\u00e9si nehez\u00edtetts\u00e9g miatt\n                    jelentkezett gasztroenterol\u00f3giai kivizsg\u00e1l\u00e1sra. A panaszok miatt gasztroszk\u00f3pi\u00e1t\n                    v\u00e9gezt\u00fcnk, melynek sor\u00e1n s\u00falyos candidaoesophagitis igazol\u00f3dott, \u00e9s <jats:italic>per\n                        os<\/jats:italic> sziszt\u00e9m\u00e1s antifung\u00e1lis kezel\u00e9st kezdt\u00fcnk. A betegn\u00e9l\n                    immunszuppressz\u00edv t\u00e9nyez\u0151t keresve, b\u00e1r rizik\u00f3t nem siker\u00fclt explor\u00e1lni, t\u00f6bbek\n                    k\u00f6z\u00f6tt HIV-szerol\u00f3gi\u00e1t k\u00e9rt\u00fcnk, mely pozit\u00edv lett. Eset\u00fcnk tanuls\u00e1ga, hogy a\n                    nyel\u0151cs\u0151 gomb\u00e1s megbeteged\u00e9s\u00e9nek eset\u00e9n immunszuppresszi\u00f3t okoz\u00f3 t\u00e9nyez\u0151t kell\n                    keresni, amelynek egyik alapvizsg\u00e1lata a HIV-szerol\u00f3gia. A gyors, helyes\n                    diagn\u00f3zis fel\u00e1ll\u00edt\u00e1sa lehet\u0151v\u00e9 tette az alapbetegs\u00e9g adekv\u00e1t kezel\u00e9s\u00e9nek\n                    megkezd\u00e9s\u00e9t. Orv Hetil. 2023; 164(22): 878\u2013880.<\/jats:p>","DOI":"10.1556\/650.2023.32768","type":"journal-article","created":{"date-parts":[[2023,6,5]],"date-time":"2023-06-05T05:53:40Z","timestamp":1685944420000},"page":"878-880","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Candidaoesophagitis mint indik\u00e1torbetegs\u00e9g"],"prefix":"10.1556","volume":"164","author":[{"given":"Csaba","family":"L\u0151rinczi","sequence":"first","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Infektol\u00f3giai Oszt\u00e1ly Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1kos","family":"Ili\u00e1s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati \u00e9s Onkol\u00f3giai Klinika Budapest, Kor\u00e1nyi S\u00e1ndor u. 2\/a, 1083 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"333","DOI":"10.5114\/pg.2013.39914","article-title":"Etiology, diagnosis and treatment of infectious esophagitis","volume":"8","author":"Roso\u0142owski M","year":"2013","unstructured":"1 Roso\u0142owski M, Kierzkiewicz M. Etiology, diagnosis and treatment of infectious esophagitis. Prz Gastroenterol. 2013; 8: 333-337.","journal-title":"Prz Gastroenterol"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2 Takahashi Y, Nagata N, Shimbo T, et al. Long-term trends in esophageal candidiasis prevalence and associated risk factors with or without HIV infection: lessons from an endoscopic study of 80,219 patients. PLoS ONE 2015; 10: e0133589.","DOI":"10.1371\/journal.pone.0133589"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1111\/dote.12102","article-title":"Relationship between clinical factors and severity of esophageal candidiasis according to Kodsi's classification","volume":"27","author":"3 Asayama","year":"2014","unstructured":"3 Asayama N, Nagata N, Shimbo T, et al. Relationship between clinical factors and severity of esophageal candidiasis according to Kodsi's classification. Dis Esophagus 2014; 27: 214-219.","journal-title":"Dis Esophagus"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1007\/s100960050437","article-title":"Risk factors for esophageal candidiasis","volume":"19","author":"4 Chocarro Mart\u00ednez","year":"2000","unstructured":"4 Chocarro Mart\u00ednez A, Galindo Tobal F, Ruiz-Irastorza G, et al. Risk factors for esophageal candidiasis. Eur J Clin Microbiol Infect Dis. 2000; 19: 96-100.","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"3585136","DOI":"10.1155\/2019\/3585136","article-title":"Diagnosis and treatment of esophageal candidiasis: current updates","volume":"2009","author":"5 Mohamed","year":"2019","unstructured":"5 Mohamed AA, Lu XL, Mounmin FA. Diagnosis and treatment of esophageal candidiasis: current updates. Can J Gastroenterol Hepatol. 2019; 2009: 3585136.","journal-title":"Can J Gastroenterol Hepatol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1155\/1997\/397147","article-title":"Herpes simplex esophagitis in immunocompetent hosts","volume":"8","author":"6 Eymard","year":"1997","unstructured":"6 Eymard D, Martin L, Doummar G, et al. Herpes simplex esophagitis in immunocompetent hosts. Can J Infect Dis. 1997; 8: 351-353.","journal-title":"Can J Infect Dis"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1097\/MOG.0b013e328304de94","article-title":"Scope of drug-induced, infectious and allergic esophageal injury","volume":"24","author":"Geagea A","year":"2008","unstructured":"7 Geagea A, Cellier C. Scope of drug-induced, infectious and allergic esophageal injury. Curr Opin Gastroenterol. 2008; 24: 496-501.","journal-title":"Curr Opin Gastroenterol"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8 Pappas PG, Kauffman CA, Andes DR, et al. Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of America. Clin Infect Dis. 2016; 62: e1-e50.","DOI":"10.1093\/cid\/civ933"},{"key":"ref8","unstructured":"9 Prinz Gy, Sink\u00f3 J, Radka N. Mycoses in patients wih haematological malignancies and stem cell transplantation. [Gombafert\u0151z\u00e9sek az onkohematol\u00f3gi\u00e1ban \u00e9s hemopoetikus \u0151ssejt\u00e1t\u00fcltet\u00e9s kapcs\u00e1n.] LAM 2005; 15: 713-720. 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