Fungal esophagitis

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  Candiada hyphae forming a tangled mass overlying a plaque of squamous cells, some spores can be seen between the hyphae. Esophageal brushing. Papanicolaou stain
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  Candiada hyphae forming a tangled mass overlying a plaque of squamous cells, some spores can be seen between the hyphae. Esophageal brushing. MGG stain.
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  Candiada hyphae forming a tangled mass overlying a plaque of squamous cells, some spores can be seen between the hyphae. Esophageal brushing. PAS stain
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  A mixture of yeast forms and hyphal forms is present with little inflammatory response. Esophageal brushing.Papanicolaou stain
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  A mixture of yeast forms and hyphal forms is present with little inflammatory response. Esophageal brushing. Esophageal brushing M.G.G. stain
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  Budding yeasts and pseudohyphae of saprophytic Candida Albicans. Esophageal brushing PAS stain
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  Budding yeasts and pseudohyphae of Candida Albicans. Esophageal brushing Papanicolaou stain
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  Budding yeasts and pseudohyphae of Candida Albicans. Esophageal brushing M.G.G. stain
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  Budding yeasts and pseudohyphae of Candida Albicans. Esophageal brushing PAS stain
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  Characteristic branching hyphal fragments with septa. Esophageal brushing Papanicolaou stain
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  Characteristic branching hyphal fragments with septa. Esophageal brushing PAS stain

Fungal infection in debilitated or inmunosuppressed patients or during broad-spectrum antimicrobial terapy are frequent.
Candida species are the most common fungal pathogens Candida Albicans is by the most frequent cause of clinically significant infections esophagitis.
Candida typically produces a pseudomembrane that covers and is attached to the squamous mucosa.
Candida pseudohyphae and spores are relatively common findings in brush smears in the presence of fungal esophagitis.

The images correspond to the cytology by esophageal brushing of a man of 43 years with fungal esophagitis.