Tuberculous esophagitis. Report of a case and review of modern approaches to diagnosis and treatment.
We describe a patient with tuberculous esophagitis who was referred to us with low-grade fever, but no esophageal symptoms. The diagnosis was established in biopsies obtained from a deep midesophageal ulcer seen on endoscopy. Investigation of the patient failed to identify any extra-esophageal tuberculous foci, but a computed tomography scan revealed mediastinal lymphadenopathy without lung involvement. Primary infection of the esophagus by tuberculosis is questioned, and widespread use of computed tomography may show it to be a fiction.
Tassios
P
P
Gastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, University of Athens, Greece.
Ladas
S
S
Giannopoulos
G
G
Lariou
K
K
Katsogridakis
J
J
Chalevelakis
G
G
Strigaris
K
K
Raptis
S
S
D000368:Aged; D004941:Esophagitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008198:Lymph Nodes / Q000382:microbiology / Q000473:pathology; D008297:Male; D008482:Mediastinum; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy