Primary Esophageal Tuberculosis With Dysphagia
| Autor: | Ishan Dhungana, Sandesh R Parajuli, Bidisha Baral, Mukesh S Paudel, Puskar Poudel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Tuberculosis dysphagia granulomas Physical examination Caseous necrosis Infectious Disease Mycobacterium tuberculosis Biopsy Internal Medicine Medicine endoscopy biology medicine.diagnostic_test business.industry General Engineering Gastroenterology biology.organism_classification medicine.disease Dysphagia caseous necrosis Esophageal Ulcer medicine.anatomical_structure Abdomen Radiology medicine.symptom business esophageal tuberculosis |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Tuberculosis is a common infection caused by Mycobacterium tuberculosis. Tuberculosis can affect many organ systems of the human body including the gastrointestinal tract. Esophageal involvement of tuberculosis is however rare. A 60 years old male from Nepal with an occupational history suggestive of exposure to tuberculosis presented with dysphagia. He did not have any other complaints and his physical examination was unremarkable. An upper gastrointestinal endoscopic examination revealed an esophageal ulcer at 25 cm from incisors. Biopsy from the edge of the ulcer revealed granulomas with central caseous necrosis. A computed tomography scan of the chest and abdomen did not reveal additional lesions. Considering the higher prevalence of tuberculosis in the geographical area, he was started on an empirical antitubercular regimen. His dysphagia subsided within two weeks of starting therapy. A repeat upper gastrointestinal examination at six months of therapy revealed complete healing of the esophageal lesion. In this case report, we review the symptomatology, diagnosis, and treatment of esophageal tuberculosis. |
| Databáze: | OpenAIRE |
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