have been reported in the normal gingivae and periodontal pockets along with other species such as Actinomyces, Arthromyces and Streptomyces spp.The usual mode of transmission is inhalation of organisms suspended in dust. Another very common method is by traumatic introduction, especially in the jaw. This leads to the entrance of Nocardia into the blood stream and the propagation of its pathogenic effects. Transmission by direct inoculation through puncture wounds or abrasions is less common. Generally, nocardial infection requires some degree of immune suppression.A weakened immune system is a general indicator of a person who is more susceptible to nocardiosis, such as someone who already has a disease that weakens their immune system. Additionally, those with low T-cell counts or other complications involving T-cells can expect to have a higher chance of becoming infected. Besides those with weak immune systems, a local traumatic inoculation can cause nocardiosis, specifically the cutaneous, lymphocutaneous, and subcutaneous forms of the disease. There is no racial pattern in the risk of becoming infected with Nocardiosis. Diagnosis
Diagnosis of nocardiosis can be made by a doctor using various techniques. These techniques include, but are not limited to: a chest x-ray to analyze the lungs, a bronchoscopy, a brain/lung/skin biopsy, or a sputum culture. However, diagnosis may be difficult. Nocardiae are gram positive, weakly acid-fast, branching rod-shaped bacteria and can be visualized by a modified Ziehl–Neelsen stain such as the Fite-Faraco method.
Esophageal diseases can derive from congenital conditions, or they can be acquired later in life. Many people experience a burning sensation in their chest occasionally, caused by stomach acids refluxing into the esophagus, normally called heartburn. Extended exposure to heartburn may erode the lining of the esophagus, leading potentially to Barretts esophagus which is associated with an increased risk of adenocarcinoma most commonly found in the distal one-third of the esophagus. Some people also experience a sensation known as globus esophagus, where it feels as if a ball is lodged in the lower part of the esophagus. The following are additional diseases and conditions that affect the esophagus:

Achalasia
Acute esophageal necrosis
Barretts esophagus
Boerhaave syndrome
Caustic injury to the esophagus
Chagas disease
Diffuse esophageal spasm
Esophageal atresia and tracheoesophageal fistula
Esophageal cancer
Esophageal dysphagia
Esophageal varices
Esophageal web
Esophagitis
GERD
Hiatus hernia
Jackhammer esophagus (hypercontractile peristalsis)
Killian–Jamieson diverticulum
Mallory–Weiss syndrome
Neurogenic dysphagia
Nutcracker esophagus
Schatzkis ring
Zenkers diverticulum

References
External links

Esophageal and Swallowing Disorders, Merck & Company Inc.