Esophageal perforation in a patient with acquired immunodeficiency syndrome.
Infection with Mycobacterium tuberculosis is frequently found in patients with acquired immunodeficiency syndrome and can result in diffuse lymphadenopathy from disseminated disease. A case is presented of esophageal erosion and perforation secondary to mediastinal lymph node enlargement from Mycobacterium tuberculosis in a patient positive for human immunodeficiency virus. Emergent surgical intervention required resection of the perforated esophagus, end-cervical esophagostomy, gastrostomy, and feeding jejunostomy. Long-term prognosis is poor owing to acquired immunodeficiency syndrome, therefore, reconstruction at a later date is uncertain.
Adkins
M S
MS
Department of Cardiovascular and Thoracic Surgery, St. Vincent's Hospital and Medical Center, New York, New York.
Raccuia
J S
JS
Acinapura
A J
AJ
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D004939:Esophageal Perforation / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology; D014388:Tuberculosis, Lymph Node / Q000150:complications*