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[Glandular tuberculosis as the cause of dysphagia]
Marie Westergaard-Nielsen1, Birthe Hammelsvang Pedersen
1Øre-, næse- og halskirurgisk Afdeling F, Odense Universitetshospital, 5000 Odense C. mariewn@hotmail.com.
Abstract:
Tuberculosis without pulmonal manifestation is uncommon, but must still be considered as differential diagnosis of lymphadenopathy. We present a case where the main symptom was dysphagia caused by a traction diverticulum due to glandular tuberculosis, which involved the lymph nodes in the neck. Based on the results of a magnetic resonance scanning and a computed tomography the primary diagnosis was a malignant oesophageal tumour, but a polymerase chain reaction on needle-aspirated pus from a lymph node revealed a Mycobacterium tuberculosis complex. No malignant cells were found in an oesophageal biopsy. After anti-tuberculous treatment, the dysphagia resolved completely.
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