Isolated esophageal tuberculosis: A case report.

Autor: Diallo I; Hepato-Gastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal. idiallo601@yahoo.fr., Touré O; Hepatogastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal., Sarr ES; Department of Pathology, Hopital Principal de Dakar, Dakar 3006, Senegal., Sow A; Hepatogastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal., Ndiaye B; Hepatogastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal., Diawara PS; Department of Biology, Hopital Principal de Dakar, Dakar 3006, Senegal., Dial CM; Department of Pathology, Hopital Général Idrissa Pouye, Dakar 3006, Senegal., Mbengue A; Department of Imaging, Hopital Principal de Dakar, Dakar 3006, Senegal., Fall F; Hepatogastroenterology, Hopital Principal de Dakar, Dakar 3006, Senegal.
Jazyk: angličtina
Zdroj: World journal of gastrointestinal endoscopy [World J Gastrointest Endosc] 2022 Sep 16; Vol. 14 (9), pp. 575-580.
DOI: 10.4253/wjge.v14.i9.575
Abstrakt: Background: Tuberculosis is endemic in Senegal. While its extra-pulmonary localization is rare, esophageal tuberculosis, particularly the isolated form, is exceptional. We report here a case of isolated esophageal tuberculosis in an immunocompetent patient.
Case Summary: A 58-year-old man underwent consultation for mechanical dysphagia that had developed over 3 mo with non-quantified weight loss, anorexia, and fever. Upper digestive endoscopy showed extensive ulcerated lesions, suggesting neoplasia. The diagnosis was confirmed by histopathology, which showed gigantocellular epithelioid granuloma surrounding a caseous necrosis. Thoracoabdominal computed tomography scan did not show another localization of the tuberculosis. The outcome was favorable with treatment.
Conclusion: Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.
Competing Interests: Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
(©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze: MEDLINE