He was clinically diagnosed with candida stomatitis and candida esophagitis. The latter was diagnosed on clinical grounds and an esophagoram.
The latter revealed multiple mucosal defects and poor distensibility of the esophagus suggestive of an inflammatory or neoplastic process. He was treated with diflucan, 400 mg bolus orally, and 200 mg daily for 10 days and a low refined carbohydrate diet. A follow up observation is demonstrated in the second photograph. The latter reveals an appreciable clearing of the gross findings demonstrated in the original photo.