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Erschienen in:

30.07.2018 | Dysphagie | Clinical Conundrum

Dysphagia, Hyperglycemia, and Presyncope

verfasst von: Kishan J. Padalia, Arjun J. Padalia, Milind G. Parikh

Erschienen in: Dysphagia | Ausgabe 6/2018

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Abstract

There have been over 80 documented cases of swallow syncope—a rare form of reflex or neurally mediated syncope—with most cases associated with an underlying esophageal disorder. Here, we describe the first reported case of swallow syncope or presyncope caused by an infectious esophagitis. Our 65-year-old patient initially developed dysphagia, odynophagia, and presyncope with swallowing. This lead to nutrition and medication avoidance behavior, which was followed by the development of diabetic ketoacidosis. The diagnosis of swallow presyncope was confirmed with a provocative swallow study demonstrating 8 s sinus arrest, and an underlying cause of Candida esophagitis was found by upper endoscopy. Symptoms completely resolved after treatment with micafungin.
Literatur
4.
Zurück zum Zitat Serra-Prat M, Palomera M, Gomez C, Sar-Shalom D, Saiz A, Montoya JG, Navajas M, Palomera E, Clave P. Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study. Age and ageing. 2012;41(3):376–81. https://doi.org/10.1093/ageing/afs006.CrossRefPubMed Serra-Prat M, Palomera M, Gomez C, Sar-Shalom D, Saiz A, Montoya JG, Navajas M, Palomera E, Clave P. Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study. Age and ageing. 2012;41(3):376–81. https://​doi.​org/​10.​1093/​ageing/​afs006.CrossRefPubMed
Metadaten
Titel
Dysphagia, Hyperglycemia, and Presyncope
verfasst von
Kishan J. Padalia
Arjun J. Padalia
Milind G. Parikh
Publikationsdatum
30.07.2018
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 6/2018
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-018-9932-5

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