title: Successful medical management of tuberculous broncho-oesophageal fistula.
abstract: Broncho-oesophageal fistula (BEF) of benign aetiology is rare. BEF is a rare complication of intrathoracic involvement with tuberculosis. A high index of suspicion and appropriate investigations can lead to achieving an early diagnosis following which appropriate management can be timely instituted. Surgery can be avoided if the condition is recognised in early stages. We present a case of a young female patient with tubercular mediastinal lymphadenopathy complicated by left broncho-oesophageal fistulisation. Timely initiation of conservative medical management was followed by an uneventful recovery.
authors.affiliation: Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Karan
authors.initials: K
authors.lastname: Madan
authors.forename: Kavitha
authors.initials: K
authors.lastname: Venkatnarayan
authors.lastname: Shalimar
authors.forename: Anant
authors.initials: A
authors.lastname: Mohan
mesh_terms: D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use*; D001466:Barium Sulfate; D001983:Bronchial Fistula / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001999:Bronchoscopy; D003287:Contrast Media; D003679:Deglutition; D042241:Early Diagnosis; D061345:Early Medical Intervention; D004750:Enteral Nutrition; D004937:Esophageal Fistula / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal; D008482:Mediastinum; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000995:Antitubercular Agents; D003287:Contrast Media; D001466:Barium Sulfate