Title |
Dysphagia, Hyperglycemia, and Presyncope
|
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Published in |
Dysphagia, July 2018
|
DOI | 10.1007/s00455-018-9932-5 |
Pubmed ID | |
Authors |
Kishan J. Padalia, Arjun J. Padalia, Milind G. Parikh |
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. |
X Demographics
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 17 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 5 | 29% |
Student > Bachelor | 2 | 12% |
Researcher | 2 | 12% |
Student > Master | 1 | 6% |
Other | 1 | 6% |
Other | 0 | 0% |
Unknown | 6 | 35% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 4 | 24% |
Nursing and Health Professions | 3 | 18% |
Psychology | 2 | 12% |
Business, Management and Accounting | 1 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 6% |
Other | 1 | 6% |
Unknown | 5 | 29% |