title: [Oral blastomycosis, laryngeal papillomatosis and esophageal tuberculosis].
abstract: Esophageal involvement is an extremely rare complication of tuberculosis even in countries with high prevalence of infection. We report the case of a 57 year-old hiv-seronegative patient with simultaneous diagnoses of oral blastomycosis and laryngeal papillomatosis. Both were confirmed by anatomopathological analysis. The esophageal biopsy revealed granulomatous esophagitis with necrosis and ziehl-neelsen stain showed acid-fast alcohol resistant bacilli suggestive of tuberculosis. The patient's history included pulmonary tuberculosis twice and previous abandonment of therapy. Thus, it was necessary to use oral itraconazole combined with second-line anti-tuberculosis drugs administered through a gastrostomy tube. The clinical development was favorable.
authors.affiliation: Hospital Regional del Cusco, Cusco, Perú. montoyamanuel@hotmail.com
authors.forename: Manuel
authors.initials: M
authors.lastname: Montoya
authors.forename: Robert
authors.initials: R
authors.lastname: Chumbiraico
authors.forename: Melvin
authors.initials: M
authors.lastname: Ricalde
authors.forename: Ernesto
authors.initials: E
authors.lastname: Cazorla
authors.forename: Gustavo
authors.initials: G
authors.lastname: Hernández-Córdova
mesh_terms: D001759:Blastomycosis / Q000150:complications*; D004935:Esophageal Diseases / Q000150:complications* / Q000382:microbiology*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000150:complications*; D010212:Papilloma / Q000150:complications*; D014385:Tuberculosis, Gastrointestinal / Q000150:complications*