title: Silicotuberculosis with Esophagobronchial Fistula and Broncholithiasis.
abstract: A 69-year-old woman was admitted to hospital 4 times from November 2007 to June 2009. The patient had silicosis complicated by broncholithiasis, esophagobronchial fistula, and relapsed tuberculosis. She had worked as a stone crusher for 3 years and was exposed to a large amount of quartz dust. Barium esophagography, gastroesophageal endoscopy, and biopsy suggested esophageal-related chronic inflammation and ulcer, which probably caused the repeated esophagobronchial fistulas observed. Bronchoscopy revealed a free broncholithiasis in the left main bronchus. The patient was readmitted a fourth time, for the relapse of silicotuberculosis. After 9 months of antituberculous therapy, she was doing well until the recent last follow-up visit.
authors.affiliation: Department of Respiratory Medicine, Qi lu Hospital of Shandong University, Jinan, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Respiratory Medicine, Qingdao Central Hospital, Shandong, China.
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.affiliation: Department of Occupational Disease, Qingdao Central Hospital, Shandong, China.
authors.forename: Xiao-Wei
authors.initials: XW
authors.lastname: Sun
authors.affiliation: Department of Respiratory Medicine, Qingdao Central Hospital, Shandong, China. qdzcl2011@163.com.
authors.forename: Chun-Ling
authors.initials: CL
authors.lastname: Zhang
mesh_terms: D000368:Aged; D001983:Bronchial Fistula / Q000000981:diagnostic imaging* / Q000188:drug therapy; D004937:Esophageal Fistula / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005260:Female; D006801:Humans; D020347:Lithiasis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D012008:Recurrence; D012830:Silicotuberculosis / Q000000981:diagnostic imaging* / Q000188:drug therapy
keywords: Esophagus; Fistula; Lung diseases; Silicosis; Tuberculosis