medigraphic.com
Colegio de Medicina Interna de México.

2009, Number 5

<< Back Next >>

Med Int Mex 2009; 25 (5)

Fístula esofágica por tuberculosis en un paciente VIH positivo. Reporte de un caso y revisión bibliográfica

Galindo SJ, Tejada GRA

Language: Spanish
References: 15
Page: 395-398
PDF size: 366.83 Kb.


ABSTRACT

The esophagic tuberculosis is quite rare presentation of this disease. The difficulty in its identification and diagnosis might be ascribed to the confusing symptoms presented by such disease that could mislead to common esophagus pathologies. This is a clinical case concerning an HIV positive 32 years old male patient, starting with 20kg pondered loss in 3 months, fever, epigastrium burning pain, odinophagia and dysphagia, first being solid to become liquid state. Endoscope takes place showing two existing oval ulcers in esophagus that extend to 5cm, presenting irregular edges, approximately together having each one an orifice, being the inferior one’s deeper, the baritaded esophagogram confirms fistulous way. Biopsies taken and the stain matched esophageal tuberculosis. The patients had a good reaction to antifimic treatment. Nevertheless the uncommon aspect of such pathology, it is of great importance showing its clinic so in result of vague symptomatology it is necessary to realize differential diagnosis with other diseases.


REFERENCES

  1. Informe sobre la epidemia mundial de sida 2008. Programa Conjunto de las Naciones Unidas sobre el VIH/sida (ONUSIDA) 2008. Disponible en: http://www.unaids.org/es/KnowledgeCentre/ HIVData/GlobalReport/2008/2008_Global_report. asp.

  2. Rosario MT, Raso CL, Comer GM. Esophageal tuberculosis. Dig Dis Sci 1989;34:1281-4.

  3. Nagi B, Lal A, Kochhar R, et al. Imaging of esophageal tuberculosis: a review of 23 cases. Acta Radiol 2003;44:329-33.

  4. Seivewright N, Feehally J, Wicks AC. Primary tuberculosis of the esophagus. Am J Gastroenterol 1984;79:842.

  5. Malathi S. Esophageal tuberculosis. Indian J Pediatr 2004;71:457-58.

  6. Mokoena T, Shama DM, Ngakane H, Bryer JV. Oesophageal tuberculosis: a review of eleven cases. Postgrad Med J 1992;68:110-15.

  7. Sinha SN, Tesar P, Seta W, et al. Primary esophageal tuberculosis. Br J Clin Pract 1988;42:391-4.

  8. Dunlap N, Bass J, Fujiwara P, et al. Diagnostic Standards and Classification of Tuberculosis in Adults and Children. Am J Respir Crit Care Med 2000;161:1376-9.

  9. Gupta SP, Arora A, Bhargava DK. An unusual presentation of oesophageal tuberculosis. Tubercle Lung Dis 1992;73:174- 76.

  10. Carr DT, Spain DM. Tuberculosis in a carcinoma of the oesophagus. Am Rev Tuberc 1942;46:346-9.

  11. Nagi B, Lal A, Kochhar R, et al. Perforations and fistulae in gastrointestinal tuberculosis. Acta Radiol 2002;43:502-6.

  12. Savage PE, Grundy A. Esophageal tuberculosis: an unusual cause of dysphagia. Br J Radiol 1984;57:1153-5.

  13. Meintjes G, Lawn SD, Scano F, et al. Tuberculosis-associated immune reconstitution inflammatory syndrome: case definitions for use in resource-limited settings. Lancet Infect Dis 2008;8:516-23.

  14. Gordan AH, Marshall JB. Esophageal tuberculosis: Definitive diagnosis by endoscopy. Am J Gastroenterol 1990;85:174.

  15. Monig SP, Schmidt R, Wolters U, Krug B. Esophageal tuberculosis: A differential diagnostic challenge. Am J Gastroenterol 1995;90:15.




2020     |     www.medigraphic.com