Esophageal fungal infection due to self-administration of antibiotics

• Regularly self-administering antibiotics, the 41-year-old woman suffered from esophageal thrush - a common disease in immunocompromised people.

For 2 weeks in a row, a patient with NTH (41 years old, residing in Nam Dinh) felt dull abdominal pain in the epigastrium and left flank, accompanied by symptoms of belching, heartburn.

Worried that the condition did not show any signs of improvement, the patient decided to visit Medlatec General Hospital (Hanoi) and was appointed by the doctor for esophagogastrostomy - colorectal endoscopy.

Endoscopic images of the esophagus revealed ivory white lesions, not cleaned properly. Realizing abnormality, suspecting a fungal lesion, the doctor immediately took a specimen to test for fresh mycobacteria.

The test results showed that the specimen was positive for the fungus, the doctor came to a definitive diagnosis of the patient with esophageal fungal infection.

During the examination, the patient shared that he often voluntarily bought antibiotics at pharmacies near his home when he had a common cold or cough.

Doctor Pham Thi Que - Gastroenterologist said: Arbitrary use of antibiotics without a doctor's prescription is a big cause of the patient's autoimmune ability to become weaker, creating conditions for easy entry of fungi.

After 1 month of complying with the doctor's outpatient prescription, the patient's clinical symptoms completely disappeared, at the same time, the endoscopic image also showed that the lesions had disappeared, the esophageal mucosa completely. smooth and rosy.

Through this case, the doctor made recommendations: Esophageal thrush is not a very dangerous disease, but it is often persistent and difficult to treat definitively; If not detected and treated early, the fungus can spread to surrounding organs.

Therefore, it is important to accurately identify the disease and give the right and timely treatment regimen. However, the symptoms of the disease such as epigastric pain, belching, heartburn are atypical; many other diseases such as peptic ulcer, gastric reflux... also often cause such manifestations, which easily confuses doctors in the process of diagnosing the disease.

7 methods to significantly reduce the risk of fungal infections, doctors recommend people to pay special attention to:

Absolutely do not arbitrarily use antibiotics without a doctor's prescription.

Do not abuse anti-inflammatory drugs or pain relievers for a long time.

Good control of blood sugar, especially in people with diabetes.

People with asthma who take inhaled corticosteroids should rinse their mouths after using them.

Limit smoking, drinking alcohol and beer.

Maintain personal hygiene, frequently wash hands thoroughly with soap.

Apply a healthy diet, ensure food safety and hygiene.

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