A Case of Esophageal Tuberculous Abscess.
- Author:
Jong Hwan PARK
1
;
Hwa Mi KANG
;
Min Woong KIM
;
Chi Hoon KIM
;
Ji Hoon YOON
;
Hyung Wook KIM
;
Seung Keun PARK
;
Hee Ug PARK
;
Jong Han OK
Author Information
1. Department of Internal Medicine, Maryknoll Hospital, Busan, Korea. drhwpark@hananet.net
- Publication Type:Case Report
- Keywords:
Esophagus;
Tuberculosis;
Abscess
- MeSH:
Abscess*;
Biopsy;
Biopsy, Fine-Needle;
Cicatrix;
Deglutition Disorders;
Diagnosis;
Endoscopy;
Esophagus;
Follow-Up Studies;
Granuloma;
Hematoma;
Humans;
Middle Aged;
Pharynx;
Polymerase Chain Reaction;
Suppuration;
Tuberculosis;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2005;31(4):252-256
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary esophageal involvement by tuberculosis is rare. Clinical symptoms are variable and nonspecific in which dysphagia is the most common presenting symptom. Endoscopic findings are also diverse and nonspecific and ulcerative form is a common manifestation. For a definite diagnosis, Endoscopic biopsies are useful but typical granuloma is seen in approximately 50% of cases and acid-fast bacilli are demonstrated in less than 25% of patients. Fine needle aspiration cytology and polymerase chain reaction are helpful for diagnosis. A 54-year-old man was presented with throat discomport. Endoscopy demonstrated hematoma like lesion with pus discharge from ulceration in the proximal esophagus. Esophageal tuberculosis was confirmed based on the biopsy and culture results, and he was treated with antituberculous medications. At the follow-up endoscopy, 6 months later, previous lesion was completely healed to scar.
