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


Journal of Vascular Medicine & Surgery

Author(s): Gomes J, Antunes A, Carvalho A, Duarte R

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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.
This article was published in J Med Case Rep and referenced in Journal of Vascular Medicine & Surgery

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