Tuberculosis Presenting As Broncho-oesophageal Fistula in a Young Healthy Man

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2017 Aug 3

PMID 28765480

Citations 3

Authors

Ahmed Sayeed

Eid Humaid Alqurashi

Adnan B Alzanbagi

Nabil Abdulwadod Badr Ghaleb

Affiliations

Soon will be listed here.

Abstract

A 21-year-old Saudi man presented with a history of dysphagia and choking. CT scan of the chest showed clear evidence of chronic recurrent aspiration pneumonia in the left lung. It also showed a fistula connecting the left main bronchus to the oesophagus. Endoscopy showed clear opening on the oesophageal side. Bronchoscopy also confirmed the presence of a broncho-oesophageal fistula on the left bronchial side with the presence of secretions on swallowing. Bronchoalveolar lavage (BAL) was done and sent for mycobacterial tuberculosis culture. The fistula was closed with clips under endoscopic guidance, which alleviated his symptoms of dysphagia and choking. The BAL culture grew mycobacterial tubercle bacilli. The patient showed marked improvement after starting antitubercular therapy and was discharged to be followed up in the clinic.

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