What are the implications of odynophagia in a patient with HIV infection?
Odynophagia, or painful swallowing, is an uncommon symptom. In patients with AIDS, this almost always represents an esophageal ulcer. In such patients, associated chest pain may be a concomitant complaint. Upper endoscopy is mandatory for a specific diagnosis. Rarely, Candida esophagitis may result in severe odynophagia, but more typically is milder and dysphagia is prominent.