Spontaneous Cardioesophageal Junction Perforation in an Immunocompetent Patient with Esophageal Candidiasis

Abstract

Background: Esophageal perforation related to esophageal candidiasis is extremely rare in immunocompetent individuals with poor prognosis. Case report: We report a case of spontaneous cardioesophageal junction perforation due to esophageal candidiasis in a 17- year old immunocompetent male patient. He was treated with systemic antifungal therapy and although surgical repair did not achieve impermeability, he survived from septic shock and multiorgan failure. Conclusion: Spontaneous esophageal perforation due to esoph- ageal candidiasis is an extremely rare complication. Aggressive medical and surgical treatment may lead to complete recovery.