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Isolated esophageal tuberculosis: A case report

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: A 58-year-old man underwent...

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Detalles Bibliográficos
Autores principales: Diallo, Ibrahima, Touré, Omar, Sarr, Elhadji Souleymane, Sow, Abdoul, Ndiaye, Bineta, Diawara, Papa Silman, Dial, Cherif Mouhamed, Mbengue, Ababacar, Fall, Fatou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9516473/
https://www.ncbi.nlm.nih.gov/pubmed/36186948
http://dx.doi.org/10.4253/wjge.v14.i9.575
Descripción
Sumario: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: 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: Esophageal tuberculosis should be considered when dysphagia is associated with atypical ulcerated lesions of the esophageal mucosa, in an endemic area.