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40 year-old immunocompromized came with C/o dysphagia. UGI scopy showed multiple ulcers in the distal esophagus. Biopsy from the esophagus showed the following. What is the diagnosis?

A
Candia
B
Cytomegalovirus
C
Herpes
D
Eosinophilic esophagitis
High-Yield Explanation
Ref. Robbins Pathology 9th edition, page. 280   Lets see it one by one To solve - Candida – No whitish discharge – No spore on microscopy – Ruled out Herpes – Yes can produce multiple ulcers, but herpes will have multinucleation and groud glass eosinophilic inclusion – Ruled out Eosinophilic esophagitis – You are not seeing classical clusters of eosinophil CMV – intranuuclear blue inclusions – yes, immunocompromised person, yes.

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