Esophageal tuberculosis in an HIV-positive patient mimicking a spindle cell tumor

Suarez-Zamora, David A.; Palau-Lazaro, Mauricio A.; Rodríguez‐Urrego, Paula A.

doi:10.1016/j.patol.2019.02.008

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2021

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“…Previous reports have indicated that esophageal tuberculosis is mainly caused by direct invasion of tuberculous lesions in surrounding tissues or organs (e.g., mediastinal lymph node tuberculosis, thoracic vertebra tuberculosis, and parahilar lymph node tuberculosis). 8 – 10 Bloodstream infection is rare. 11 , 12 Esophageal tuberculosis can involve the entire esophagus, but involvement of the middle part is more common.…”

Section: Discussionmentioning

confidence: 99%

Esophagomediastinal fistula due to secondary esophageal tuberculosis: report of two cases

Nie

Liu

et al. 2021

J Int Med Res

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Esophageal tuberculosis is rare among digestive system diseases. We herein present two cases of esophageal tuberculosis. One patient presented with a choking sensation and pain in the chest, and the other presented with loss of appetite and emaciation. Both patients had an esophagomediastinal fistula, underwent endoscopic ultrasonography and fine-needle aspiration, were clinically diagnosed with esophageal tuberculosis, received antituberculosis treatment, and exhibited clinical improvement. These two rare cases suggest that the possibility of esophageal tuberculosis should be considered in patients with an esophagomediastinal fistula. Endoscopic ultrasonography and fine-needle aspiration can be performed to assist the diagnosis. Good clinical results can often be achieved with timely antituberculosis treatment.

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Section: Discussionmentioning

confidence: 99%