title: Tuberculosis presenting as bronchoesophageal fistula.
abstract: We report a case of bronchoesophageal fistula associated with tuberculosis. A 25 year old woman presented to us with 3 month history of cough worsening with deglutition. Radiological examination revealed mediastinal lymphadenopathy and bronchoscopy with esophagoscopy confirmed the presence of fistulous communication with features of endobronchial tuberculosis. Histological examination of bronchial biopsy specimen showed non necrotic granuloma with the PCR positive forMycobacteriumtuberculosis in her bronchial secretions. She was begun on antituberculous treatment and became asymptomatic after 2 months. Bronchoscopy done during follow up after 4 months showed normal bronchial lumen with disappearance of fistulous tract. Imaging showed resolution of lung lesions.
authors.affiliation: Department of Medicine, Govt. Medical College, Kozhikode, Kerala, India.
authors.forename: Santhosh
authors.initials: S
authors.lastname: Narayanan
authors.affiliation: Department of Medicine, Govt. Medical College, Kozhikode, Kerala, India.
authors.forename: Shiji
authors.initials: S
authors.lastname: P V
authors.affiliation: Department of Medicine, Govt. Medical College, Kozhikode, Kerala, India.
authors.forename: Abdul
authors.initials: A
authors.lastname: Majeed K A
authors.affiliation: Department of Medicine, Govt. Medical College, Kozhikode, Kerala, India.
authors.forename: Udayabhaskaran
authors.initials: U
authors.lastname: V
keywords: Bronchoesophageal fistula; Tuberculosis