Tuberculosis presenting as bronchoesophageal fistula

We report a case of bronchoesophageal fistula associated with tuberculosis. A 25year old woman presented to us with 3 month history of cough worsening with deglutition. Radiological examination revealed mediastinal lymphadenopathy and bronchoscopy with esophagoscopy confirmed the presence of fistulo...

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Bibliographic Details
Published in:IDCases 2017-01, Vol.8 (C), p.19-21
Main Authors: Narayanan, Santhosh, P.V., Shiji, Majeed K.A., Abdul, V., Udayabhaskaran
Format: Article
Language:English
Subjects:
Bronchoesophageal fistula
Case Report
Tuberculosis
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Summary:We report a case of bronchoesophageal fistula associated with tuberculosis. A 25year old woman presented to us with 3 month history of cough worsening with deglutition. Radiological examination revealed mediastinal lymphadenopathy and bronchoscopy with esophagoscopy confirmed the presence of fistulous communication with features of endobronchial tuberculosis. Histological examination of bronchial biopsy specimen showed non necrotic granuloma with the PCR positive for Mycobacterium tuberculosis in her bronchial secretions. She was begun on antituberculous treatment and became asymptomatic after 2 months. Bronchoscopy done during follow up after 4 months showed normal bronchial lumen with disappearance of fistulous tract. Imaging showed resolution of lung lesions.
ISSN:2214-2509
2214-2509
DOI:10.1016/j.idcr.2017.02.008