Isolated esophageal tuberculosis: A case report.
Case report
Endoscopy
Esophagus
Tuberculosis
Journal
World journal of gastrointestinal endoscopy
ISSN: 1948-5190
Titre abrégé: World J Gastrointest Endosc
Pays: United States
ID NLM: 101532474
Informations de publication
Date de publication:
16 Sep 2022
16 Sep 2022
Historique:
received:
03
05
2022
revised:
11
07
2022
accepted:
06
08
2022
entrez:
3
10
2022
pubmed:
4
10
2022
medline:
4
10
2022
Statut:
ppublish
Résumé
Tuberculosis is endemic in Senegal. While its extra-pulmonary localization is rare, esophageal tuberculosis, particularly the isolated form, is exceptional. We report here a case of isolated esophageal tuberculosis in an immunocompetent patient. A 58-year-old man underwent consultation for mechanical dysphagia that had developed over 3 mo with non-quantified weight loss, anorexia, and fever. Upper digestive endoscopy showed extensive ulcerated lesions, suggesting neoplasia. The diagnosis was confirmed by histopathology, which showed gigantocellular epithelioid granuloma surrounding a caseous necrosis. Thoracoabdominal computed tomography scan did not show another localization of the tuberculosis. The outcome was favorable with treatment. Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.
Sections du résumé
BACKGROUND
BACKGROUND
Tuberculosis is endemic in Senegal. While its extra-pulmonary localization is rare, esophageal tuberculosis, particularly the isolated form, is exceptional. We report here a case of isolated esophageal tuberculosis in an immunocompetent patient.
CASE SUMMARY
METHODS
A 58-year-old man underwent consultation for mechanical dysphagia that had developed over 3 mo with non-quantified weight loss, anorexia, and fever. Upper digestive endoscopy showed extensive ulcerated lesions, suggesting neoplasia. The diagnosis was confirmed by histopathology, which showed gigantocellular epithelioid granuloma surrounding a caseous necrosis. Thoracoabdominal computed tomography scan did not show another localization of the tuberculosis. The outcome was favorable with treatment.
CONCLUSION
CONCLUSIONS
Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.
Identifiants
pubmed: 36186948
doi: 10.4253/wjge.v14.i9.575
pmc: PMC9516473
doi:
Types de publication
Case Reports
Langues
eng
Pagination
575-580Informations de copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
Références
JGH Open. 2018 Apr 02;2(2):34-38
pubmed: 30483561
Dis Esophagus. 2017 Aug 1;30(8):1-6
pubmed: 28575247
Am J Med. 2007 Apr;120(4):e1-2
pubmed: 17398209
World J Gastrointest Endosc. 2013 Nov 16;5(11):581-3
pubmed: 24255751
BMC Gastroenterol. 2020 Aug 28;20(1):291
pubmed: 32859167
World J Gastroenterol. 2014 Oct 28;20(40):14831-40
pubmed: 25356043
Scand J Gastroenterol. 2020 Oct;55(10):1200-1204
pubmed: 32881605
Acta Radiol. 2003 May;44(3):329-33
pubmed: 12752007
J Dig Dis. 2017 Mar;18(3):185-188
pubmed: 28139030
Scand J Gastroenterol. 2010 Nov;45(11):1269-72
pubmed: 20568972
Endosc Ultrasound. 2013 Apr;2(2):92-5
pubmed: 24949371