Esophageal Perforation Caused by Mycobacterium tuberculosis

Baltz, Joseph; Brock, Andrew

doi:10.1016/j.amjmed.2013.01.008

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Few patients have typical tubercular symptoms, such as low fever, fatigue and weight loss [ 18 , 19 ]. Uncommon presentations, such as hematemesis [ 24 ], perforation [ 25 ] and fistula-related symptoms [ 26 ], can also be found in previous studies. Endoscopic presentations of ET are variable, including ulceration, protruding lesions and fistulae, causing ET to be easily misdiagnosed as esophageal carcinoma or SMTs.…”

Section: Discussionmentioning

confidence: 83%

Esophageal anthracosis occurred after treatment of esophageal tuberculosis secondary to mediastinal tuberculous lymphadenitis: a rare case report

Cheng

Zhou

et al. 2023

BMC Infect Dis

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Background Anthracosis is a disease generally considered to be in the lungs resulting from exposure to industrial dust in the workplace. Esophageal anthracosis is a fairly rare phenomenon and shows a strong correlation with tuberculosis. Moreover, esophageal involvement in tuberculosis is also rare. We here present an extremely rare case in which follow-up gastroesophageal endoscopy revealed a mass with a sunken, black area in the center and raised ring-like pattern in the surrounding mucosa resembling malignant melanoma. Uncovering the patient’s tuberculosis history finally avoided a misdiagnosis or overtreatment. Case presentation A 67-year-old male patient was admitted to the hospital due to “repeated chest pain for 1 month”. Endoscopic ultrasonography and contrast-enhanced CT scans revealed a mass adjacent to the esophageal wall with unclear boundaries. Aspiration biopsy confirmed that esophageal tuberculosis was caused by nearby mediastinal tuberculous lymphadenitis. After a standard anti-tuberculosis treatment regimen, the patient achieved a favorable prognosis. The follow-up gastroesophageal endoscopy showed a sunken black lesion with elevated peripheral mucosa replacing the original tuberculous mass, which was thought to be anthracosis, a disease that rarely occurs in the esophagus. Conclusion The diagnosis of tuberculosis should be taken into consideration when a submucosal mass appears in the middle part of the esophagus. Endoscopic ultrasonography can effectively contribute to a definite diagnosis. Moreover, this is the first case of esophageal anthracosis observed only 1 year after the treatment of tuberculosis, indicating esophageal anthracosis can be a short-term disease. The traction of the reduction of tubercular mediastinal lymph nodes after anti-tuberculosis treatment may create a circumstance for pigmentation or dust deposition.

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Section: Discussionmentioning

confidence: 83%

Esophageal anthracosis occurred after treatment of esophageal tuberculosis secondary to mediastinal tuberculous lymphadenitis: a rare case report

Cheng

Zhou

et al. 2023

BMC Infect Dis

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“…Cases have been treated successfully non‐operatively, with endoscopic stenting or operative intervention reserved for cases where there is ongoing severe sepsis. Of the reported cases, five were successfully managed non‐operatively with prolonged anti‐tuberculous medications while two cases received endoscopic stenting . A total of four reported cases required operative management, two with primary repair, one with diverting loop oesophagostomy and one with oesophageal resection and oesophagostomy …”

mentioning

confidence: 99%

“…Of the reported cases, five were successfully managed nonoperatively with prolonged anti-tuberculous medications 4-8 while two cases received endoscopic stenting. 2,9 A total of four reported cases required operative management, two with primary repair, one with diverting loop oesophagostomy and one with oesophageal resection and oesophagostomy. 10 Tuberculosis can result in rare and atypical presentations to a surgical service and should always be considered as a differential diagnosis in patients presenting from endemic areas.…”

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confidence: 99%