A Bronchoesophageal Fistula that Developed Shortly after the Initiation of Antituberculous Chemotherapy
| Autor: | Hideki Takahashi, Mari Sasaki, Hideaki Mochizuki |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Tuberculosis Fistula Antitubercular Agents Sputum culture Mycobacterium tuberculosis Esophageal Fistula Bronchoscopy Swallowing Internal Medicine medicine Humans Tuberculosis Pulmonary medicine.diagnostic_test biology business.industry Bronchoesophageal fistula General Medicine biology.organism_classification medicine.disease Surgery Cough Subcarinal Bronchial Fistula Radiology business |
| Zdroj: | Internal Medicine. 52:795-799 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.52.9191 |
| Popis: | A 26-year-old man visited our clinic because of a persistent cough. Although his chest roentgenography showed no abnormalities, a sputum culture revealed a positive result for Mycobacterium tuberculosis. Computed tomography (CT) prior to antituberculous chemotherapy demonstrated an esophagomediastinal fistula with subcarinal lymphadenopathy. One week after the treatment, he complained of a severe cough exacerbated by swallowing liquid. The development of a bronchoesophageal fistula (BEF) was suggested by esophagoscopy, and was confirmed by CT and bronchoscopy. The present case was unique because the process of BEF development could be followed by CT, and the BEF developed in an immunocompetent patient with relatively mild pulmonary tuberculosis. |
| Databáze: | OpenAIRE |
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