title: Esophagomediastinal fistula secondary to multidrug-resistant tuberculous mediastinal lymphadenitis.
abstract: Esophagomediastinal fistula secondary to mediastinal tuberculosis (TB) lymphadenitis is a rare and unusual complication. A 32-year-old woman visited our clinic because of chest pain. Computed tomography (CT) demonstrated an esophagomediastinal fistula with subcarinal lymphadenopathy and no remarkable parenchymal lung lesions. The esophagomediastinal fistula was confirmed by esophagoscopy; however, the patient's bronchoscopy findings were unremarkable. The endobronchial ultrasound-guided lymph node aspiration did not confirm a diagnosis of TB. Finally, the patient was diagnosed via a lymph node biopsy. A drug-sensitivity test revealed the presence of a multidrug-resistant pathogen. To the best of our knowledge, this is the first case of esophagomediastinal fistula secondary to multidrug-resistant (MDR-) TB mediastinal lymphadenitis.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea.
authors.forename: Yousang
authors.initials: Y
authors.lastname: Ko
authors.forename: Ho-Young
authors.initials: HY
authors.lastname: Lee
authors.forename: Young-Seok
authors.initials: YS
authors.lastname: Lee
authors.forename: Mi-Yeong
authors.initials: MY
authors.lastname: Kim
authors.forename: Young-Min
authors.initials: YM
authors.lastname: Lee
authors.forename: Mi
authors.initials: M
authors.lastname: Seon Kang
authors.forename: Jeong
authors.initials: J
authors.lastname: Hwan Shin
authors.forename: Seok
authors.initials: S
authors.lastname: Jin Choi
authors.forename: Yang-Haeng
authors.initials: YH
authors.lastname: Lee
authors.forename: Hyun-Kyung
authors.initials: HK
authors.lastname: Lee
mesh_terms: D000328:Adult; D000904:Antibiotics, Antitubercular / Q000008:administration & dosage; D001706:Biopsy; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008482:Mediastinum / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D014388:Tuberculosis, Lymph Node / Q000150:complications* / Q000188:drug therapy; D018088:Tuberculosis, Multidrug-Resistant / Q000150:complications* / Q000188:drug therapy
chemical_list: D000904:Antibiotics, Antitubercular