Challenges in Diagnosis of Esophageal Tuberculosis.
J Assoc Physicians India
; 72(1): 104-105, 2024 Jan.
Article
in En
| MEDLINE
| ID: mdl-38736083
ABSTRACT
Esophageal tuberculosis (TB) is a rare manifestation of extrapulmonary TB, accounting for <0.2% of all TB cases. Esophageal TB most commonly presents with dysphagia, odynophagia, retrosternal pain, and systemic symptoms like decreased appetite, loss of weight, and low-grade fever as associated or other presentations. We report a similar case recently encountered as an elderly male patient presented with chronic dysphagia to solids, loss of appetite, and significant loss of weight. Radiological and endoscopy pictures looked like esophageal cancer with histopathological examination (twice) negative for the same. Diagnosis of esophageal TB was confirmed by GeneXpert Ultra of biopsy sample and histopathological examination was suggestive of granulomatous esophagitis. The patient improved on 6 months antitubercular therapy. The unique aspect of this case was how the lesion mimicked an esophageal carcinoma on imaging which posed a diagnostic challenge.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Antitubercular Agents
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
J Assoc Physicians India
Year:
2024
Document type:
Article