title: Esophageal Microperforation due to Calcified Mediastinal Lymph Node Leading to Tracheoesophageal Fistula.
abstract: A 42-year-old male presented with worsening gastroesophageal reflux disease symptoms and cough. The clinical symptoms during the early course of illness were striking for aspiration pneumonia. He was given a prescription of proton pump inhibitors and antibiotics. Rapid decline in the clinical condition with worsening respiratory status was noted. Worsening symptoms of fever, cough, and chest pain prompted further diagnostic work-up suggesting esophageal microperforation. Esophagogram was found to be suggestive of tracheoesophageal fistula. The tracheoesophageal fistula was due to subcarinal lymph node of nontuberculous origin.
authors.affiliation: St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USA.
authors.forename: Sankalp
authors.identifier: 0000-0003-0687-7439
authors.initials: S
authors.lastname: Dwivedi
authors.affiliation: St. Mary Mercy Livonia Hospital, Graduate Medical Education, Livonia, MI 48154, USA.
authors.forename: E Brooke
authors.initials: EB
authors.lastname: Schrickel
authors.affiliation: St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USA.
authors.forename: Fayez
authors.initials: F
authors.lastname: Siddiqui
authors.affiliation: St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USA.
authors.forename: John
authors.initials: J
authors.lastname: O'Brien
authors.affiliation: St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USA.
authors.forename: James
authors.initials: J
authors.lastname: Kruer