1921
Volume 88, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

A 26-year-old man (human immunodeficiency virus-positive and not taking highly active antiretroviral treatment [HAART]) presented to the emergency room with 2 months of malaise, 20 kg weight loss, high spiking fevers, generalized lymph nodes, night sweats, dry cough, and chest pain when swallowing. On physical examination, he had multiple cervical lymphadenopathies. Suspecting a systemic opportunistic infection, a contrasted chest computed tomography (CT) was done, showing an esophageal to mediastinum fistulae. Two days after admission, a fluoroscopic contrasted endoscopy was done that showed two esophageal fistulae from scrofula to esophagus and then, to mediastinum. A bronchoalveolar lavage and a cervical lymphadenopathy biopsy were done, both showing multiple acid-fast bacillae, where cultures grew .

[open-access] This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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/content/journals/10.4269/ajtmh.12-0561
2013-06-05
2017-09-21
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References

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  2. Fontanilla J-M, Barnes A, von Reyn CF, , 2011. Current diagnosis and management of peripheral tuberculous lymphadenitis. Clin Infect Dis 53: 555562.[Crossref]
  3. Gupta KB, Manchanda M, Vermas M, , 2011. Tuberculous oesophagopleural fistula. J Indian Med Assoc 109: 504505.
  4. Rana SS, Bhasin DK, Singh K, , 2012. Endoscopic ultrasound features of mediastinal tuberculosis. Endoscopy 44: 106107.[Crossref]
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Supplementary Data

Supplementary AVI

  • Received : 11 Sep 2012
  • Accepted : 06 Oct 2012

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