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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Dysphagia as a manifestation of esophageal tuberculosis: a report of two cases

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Joana Gomes, Ana Antunes, Aurora Carvalho, Raquel Duarte
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-447) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

JG was a major contributor in writing and revising the manuscript. RD was involved in drafting the manuscript and revising it critically for important intellectual content. AC and AA analyzed and interpreted the patient data regarding mycobacteriological examination. All authors were responsible for the diagnosis, treatment and follow-up of the patients whose case reports were described. All authors read and approved the final manuscript.

Abstract

Introduction

Esophageal involvement by Mycobacterium tuberculosis is rare and the diagnosis is frequently made by means of an esophageal biopsy during the evaluation of dysphagia. There are few cases reported in the literature.

Case presentation

We present two cases of esophageal tuberculosis in 85- and 65-year-old male Caucasian patients with initial complaints of dysphagia and epigastric pain. Upper gastrointestinal endoscopy resulted in the diagnosis of esophageal tuberculosis following the biopsy of lesions of irregular mucosa in one case and a sessile polyp in the other. Pulmonary tuberculosis was detected in one patient. In one patient esophageal stricture developed as a complication. Antituberculous therapy was curative in both patients.

Conclusion

Although rare, esophageal tuberculosis has to be kept in mind in the differential diagnosis of dysphagia. Pulmonary involvement has important implications for contact screening.

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