title: [Glandular tuberculosis as the cause of dysphagia].
abstract: Tuberculosis without pulmonal manifestation is uncommon, but must still be considered as differential diagnosis of lymphadenopathy. We present a case where the main symptom was dysphagia caused by a traction diverticulum due to glandular tuberculosis, which involved the lymph nodes in the neck. Based on the results of a magnetic resonance scanning and a computed tomography the primary diagnosis was a malignant oesophageal tumour, but a polymerase chain reaction on needle-aspirated pus from a lymph node revealed a Mycobacterium tuberculosis complex. No malignant cells were found in an oesophageal biopsy. After anti-tuberculous treatment, the dysphagia resolved completely.
authors.affiliation: Øre-, næse- og halskirurgisk Afdeling F, Odense Universitetshospital, 5000 Odense C. mariewn@hotmail.com.
authors.forename: Marie
authors.initials: M
authors.lastname: Westergaard-Nielsen
authors.forename: Birthe
authors.initials: B
authors.lastname: Hammelsvang Pedersen
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003680:Deglutition Disorders / Q000175:diagnosis / Q000382:microbiology*; D003718:Denmark; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007492:Iran / Q000208:ethnology; D008279:Magnetic Resonance Imaging; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D016896:Treatment Outcome; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents