Esophagobronchial fistula and mediastinal tuberculosis.
A 59-year-old man was seen with what preoperatively was thought to be an acquired esophagobronchial fistula secondary to an old burned-out infection with tuberculosis. At operation the gross and microscopic findings were most compatible with a congenital H-shaped esophagobronchial fistula. However, cultures of calcified lymph nodes grew Mycobacterium tuberculosis. The need for culturing calcified tissue to assure proper treatment is emphasized.
Raghu
G
G
Department of Medicine, University of Washington School of Medicine, Seattle.
Dillard
D
D
D001983:Bronchial Fistula / Q000382:microbiology*; D002114:Calcinosis / Q000382:microbiology; D004937:Esophageal Fistula / Q000382:microbiology*; D006801:Humans; D008198:Lymph Nodes / Q000382:microbiology; D008297:Male; D008477:Mediastinal Diseases / Q000382:microbiology*; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014397:Tuberculosis, Pulmonary