{"id":9430,"date":"2024-12-18T06:30:00","date_gmt":"2024-12-18T09:30:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=9430"},"modified":"2025-03-03T18:23:47","modified_gmt":"2025-03-03T21:23:47","slug":"tratamento-das-esofagites-infecciosas","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/tratamento-das-esofagites-infecciosas\/","title":{"rendered":"Tratamento das esofagites infecciosas"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/9430?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/9430?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p>As esofagites infecciosas mais comuns incluem candid\u00edase, v\u00edrus herpes simples (HSV) e citomegalov\u00edrus (CMV). Embora seja mais comum em pacientes imunossuprimidos, a esofagite infecciosa tamb\u00e9m pode ocorrer em indiv\u00edduos imunocompetentes. Abaixo, resumimos as principais op\u00e7\u00f5es de tratamento.<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><div class=\"pcrstb-wrap\"><table class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background has-fixed-layout\"><thead><tr><th><strong>Agente<\/strong><\/th><th><strong>1\u00aa linha<\/strong><\/th><th><strong>Op\u00e7\u00f5es<\/strong><\/th><\/tr><\/thead><tbody><tr><td><br><strong>Monil\u00edase esof\u00e1gica<\/strong><\/td><td><br>Fluconazol VO 14-21 dias<br>(**400 mg 1\u00ba dia, 200-400 mg demais dias)<br>** EV se n\u00e3o tolerar VO<br><br><br>Brasil: Formula\u00e7\u00e3o oral mais comum em geral 150 mg<br><br><br>Notas:<br>&#8211; Nistatina n\u00e3o \u00e9 suficiente&#8230;<br>&#8211; Az\u00f3is s\u00e3o teratog\u00eanicos&#8230;<br>&#8211; \u00c9 discut\u00edvel o tratamento em casos assintom\u00e1ticos<\/td><td>&#8211; Tempo mais prolongado (28 dias) para refratariedade<br>&#8211; Itraconazol 200 mg 1x\/dia<br>&#8211; Voriconazol 200 mg 2x\/dia<br>&#8211; Anfotericina B lipossomal 3-4 mg\/kg\/dia<br>&#8211; Equinocandinas (caspofungina 50 mg\/d)<br><br><br>14-21 dias<\/td><\/tr><tr><td><br><strong>Herpes simples<\/strong><\/td><td><strong>Imunocomprometidos<\/strong><br>Aciclovir VO 400 mg 5x\/dia 14-21 dias<br><br><br><strong>Imunocompetentes<\/strong><br>Pode ocorrer resolu\u00e7\u00e3o espont\u00e2nea em 1-2 semanas<br>Considerar: Aciclovir VO 200 mg 5x\/dia ou 400 mg 3xd 7-10 dias<\/td><td>Op\u00e7\u00f5es com melhor comodidade posol\u00f3gica, mas mais caras<br>&#8211; Valaciclovir 1 g 2x\/dia<br>&#8211; Fanciclovir 500 mg 2x\/dia<br><br><br>14-21 dias se imunossuprimidos<br><br><br><strong>Se via oral indispon\u00edvel:<\/strong><br>&#8211; Aciclovir 5 mg\/kg\/dose 8\/8h<\/td><\/tr><tr><td><br><strong>Citomegalov\u00edrus<\/strong><\/td><td><br><strong>Imunocomprometidos (3-6 semanas)<\/strong><br>Ganciclovir EV 5 mg\/kg\/dose 12\/12h<br>Foscarnet EV 60 mg\/kg\/dose 8\/8h (ou 90 mg\/kg\/dose 12\/12h)<br><br><br>I<strong>munocompetentes<\/strong><br>Observar? Suporte?<br>&gt; 80% precisam tratar em s\u00e9ries de casos<br>Tempo menor?&gt;2 semanas?<\/td><td><br>&#8211; Valganciclovir 900 mg VO 2x\/dia<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote has-pale-ocean-gradient-background has-background is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Conhe\u00e7a nosso curso <strong><a href=\"https:\/\/gastropedia.pub\/pt\/cursos\/gastroenterologia-do-consultorio\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gastroenterologia do Consult\u00f3rio<\/a><\/strong> e saiba como lidar com as queixas mais comuns que encontramos no dia a dia<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\">Refer\u00eancias<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Reddy CA, Mcgowan E, Yadlapati R, Peterson K. AGA Clinical Practice Update on Esophageal Dysfunction Due to Disordered Immunity and Infection: Expert Review. Clin Gastroenterol Hepatol. 2024;1\u201310.<\/li>\n\n\n\n<li>Roso\u0142owski M, Kierzkiewicz M. Etiology, diagnosis and treatment of infectious esophagitis.<br>Prz Gastroenterol. 2013;8(6):333\u20137.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\">Como citar este artigo<\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Lages RB. Tratamento de doen\u00e7as infecciosas Gastropedia 2024, Vol. 2. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=9430\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/gastroenterologia\/tratamento-de-doencas-infecciosas\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As esofagites infecciosas mais comuns incluem candid\u00edase, v\u00edrus herpes simples (HSV) e citomegalov\u00edrus (CMV). Embora seja mais comum em pacientes imunossuprimidos, a esofagite infecciosa tamb\u00e9m pode ocorrer em indiv\u00edduos imunocompetentes.&hellip;<\/p>\n","protected":false},"author":4165,"featured_media":9431,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[19,18],"tags":[411,408,412,409],"ano":[396],"tipo":[121],"volume":[44],"class_list":["post-9430","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-esofago","category-gastroenterologia","tag-cmv","tag-esofagite-infecciosa","tag-herpes-virus","tag-moniliase-esofagica","ano-396","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tratamento das esofagites infecciosas - Gastropedia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/tratamento-das-esofagites-infecciosas\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tratamento das esofagites infecciosas\" \/>\n<meta property=\"og:description\" content=\"As esofagites infecciosas mais comuns incluem candid\u00edase, v\u00edrus herpes simples (HSV) e citomegalov\u00edrus (CMV). 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