title: Perforated tuberculosis lymphadenitis.
abstract: A 26-year-old man (human immunodeficiency virus-positive and not taking highly active antiretroviral treatment [HAART]) presented to the emergency room with 2 months of malaise, 20 kg weight loss, high spiking fevers, generalized lymph nodes, night sweats, dry cough, and chest pain when swallowing. On physical examination, he had multiple cervical lymphadenopathies. Suspecting a systemic opportunistic infection, a contrasted chest computed tomography (CT) was done, showing an esophageal to mediastinum fistulae. Two days after admission, a fluoroscopic contrasted endoscopy was done that showed two esophageal fistulae from scrofula to esophagus and then, to mediastinum. A bronchoalveolar lavage and a cervical lymphadenopathy biopsy were done, both showing multiple acid-fast bacillae, where cultures grew Mycobacterium tuberculosis.
authors.forename: Juan
authors.initials: J
authors.lastname: Cataño
authors.forename: John
authors.initials: J
authors.lastname: Cardeño
mesh_terms: D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D001706:Biopsy; D018893:Bronchoalveolar Lavage; D002637:Chest Pain / Q000150:complications; D003371:Cough / Q000150:complications; D004937:Esophageal Fistula / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D015658:HIV Infections / Q000150:complications / Q000382:microbiology; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications / Q000175:diagnosis; D008297:Male; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000254:growth & development; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D015431:Weight Loss
chemical_list: D000904:Antibiotics, Antitubercular