Esophageal Tuberculosis

Jain, Shyama; Kumar, Naveen; Dk, Das; Jain, Sanjeev

doi:10.1159/000331357

Cited by 17 publications

(2 citation statements)

References 12 publications

(27 reference statements)

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“…Gastroduodenal tuberculosis presents in a variety of ways, including stomach abdominal pain and dyspepsia, as well as obstruction of the gastric outlet. Upper digestive endoscopy can produce ulcer lesions, narrowing, and fistulas, which might require further investigations and treatment procedures, as was presented by [ 11 ]. Table 3 further describes the comparative features of gastroduodenal tuberculosis.…”

Section: Resultsmentioning

confidence: 99%

Differential Diagnosis of Abdominal Tuberculosis in the Adult—Literature Review

Ionescu

Nicolescu

Madge³

et al. 2021

Diagnostics

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Tuberculosis (TB) is a public health issue that affects mostly, but not exclusively, developing countries. Abdominal TB is difficult to detect at first, with the incidence ranging from 10% to 30% of individuals with lung TB. Symptoms are non-specific, examinations can be misleading, and biomarkers commonly linked with other diseases can also make appropriate diagnosis difficult. As a background for this literature review, the method used was to look into the main characteristics and features of abdominal tuberculosis that could help with differentiation on the PubMed, Science Direct, and Academic Oxford Journals databases. The results were grouped into three categories: A. general features (the five forms of abdominal tuberculosis: wet and dry peritonitis, lymphadenopathy, lesions at the level of the cavitary organs, lesions at the level of the solid organs), B. different intra-abdominal organs and patterns of involvement (oesophageal, gastro-duodenal, jejunal, ileal, colorectal, hepatosplenic, and pancreatic TB with calcified lymphadenopathy, also with description of extraperitoneal forms), and C. special challenges of the differential diagnosis in abdominal TB (such as diagnostic overlap, the disease in transplant candidates and transplant recipients, and zoonotic TB). The study concluded that, particularly in endemic countries, any disease manifesting with peritonitis, lymphadenopathy, or lesions at the level of the intestines or solid organs should have workups and protocols applied that can confirm/dismiss the suspicion of abdominal tuberculosis.

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Section: Resultsmentioning

confidence: 99%

Differential Diagnosis of Abdominal Tuberculosis in the Adult—Literature Review

Ionescu

Nicolescu

Madge³

et al. 2021

Diagnostics

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“…[45] Radiological abnormalities seen in ‘barium swallow’ are extrinsic compression, traction diverticula, strictures, sinus/ fistulous tracts, kinking and pseudo-tumor mass of esophagus – in decreasing order of frequency. [1] Diminished motility and mucosal irregularity may also be seen.…”

Section: Discussionmentioning

confidence: 99%

Mediastinal tuberculosis presenting as traction diverticulum of the esophagus

et al. 2007

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A 7-year-old male presented with history of low-grade fever, epigastric pain and dysphagia. Ultrasound of abdomen and thorax revealed presence of paraesophageal lymphadenopathy. ‘Barium swallow’ and computerized tomography scan thorax with oral contrast suggested a provisional diagnosis of paraesophageal diverticulum. Esophagoscopy was normal. Endoscopic ultrasonography with biopsy confirmed tuberculosis. The patient was started on four-drug antitubercular treatment.

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The cytopathology of mycobacterial infection

Michelow

Touzani

Field

et al. 2016

Diagnostic Cytopathology

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Mycobacterial infection, tuberculosis (TB) in particular, remains one of the world's deadliest communicable diseases in adults and particularly in children, in low and middle income countries. The combination of human immunodeficiency virus (HIV) and TB is often lethal with TB accounting for 25% of deaths in the HIV population. One of the cornerstones for reducing the TB epidemic is early case detection using high quality diagnostic techniques. Cytology, especially fine needle aspiration biopsy (FNAB) is able to diagnose mycobacterial infection in a rapid and cost-effective manner without requiring surgery, thus allowing appropriate management to be quickly instituted. Confirmatory ancillary tests can effectively be performed on cytologic material. In this review, the pertinent cytomorphology of mycobacterial infection in various exfoliative and FNAB specimens is presented, in both immunocompetent and immunosuppressed patients. In the immunosuppressed, the typical cytomorphology of caseating granulomatous inflammation may not be seen but suppurative necrotic inflammation, mycobacterial spindle pseudotumour or a specimen comprised entirely of necrosis may be seen instead. This review includes discussion of currently available ancillary tests that can be performed on cytologic specimens.

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Esophageal Tuberculosis

Cited by 17 publications

References 12 publications

Differential Diagnosis of Abdominal Tuberculosis in the Adult—Literature Review

Differential Diagnosis of Abdominal Tuberculosis in the Adult—Literature Review

Mediastinal tuberculosis presenting as traction diverticulum of the esophagus

The cytopathology of mycobacterial infection

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