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    4. What is the role of empiric therapy for new-onset viagra france where to buy esophageal symptoms in patients with AIDS?. Last, in patients with severe odynophagia, the barium study may be inadequate because severe pain on swallowing will limit the amount of barium that can be swallowed, thus limiting the quality of the study. An empiric approach to new-onset esophageal symptoms with potent antifungal therapy is commonly undertaken, because of this high prevalence.

    57-1). Although many of these infections have a characteristic appearance on barium radiography, overlap is frequent, thus mandating a definitive diagnosis by other means before prescribing antimicrobial therapy. Candida esophagitis is the most common cause of esophageal disease in patients with AIDS presenting with dysphagia or odynophagia (Fig.

    For these reasons, endoscopy with biopsy is the preferred diagnostic modality in this group of patients as this will yield a definitive diagnosis in 65% of cases. In addition, some therapies for these disorders may be associated with significant toxicity, further emphasizing the importance of a histologic diagnosis.

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