Infectious esophagitis is rare in children. Candida is the most common cause, and usually occurs in immunocompromised patients (Levine and Rubesin 2005). Candida esophagitis is common in the absence of oral thrush. Barium esophagram demonstrates linear or irregular filling defects separated by normal mucosa (Levine and Rubesin 2005). Herpes and cytomegalovirus are other frequent causes of esophagitis in immunosuppressed patients. They manifest on barium swallow as discrete well defined areas of ulceration (Levine and Rubesin 2005). HIV infection itself can cause large esophageal ulcers (Sor et al. 1995).
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