Related Experiment Video
Updated: Dec 27, 2025
03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
558
Esophageal tuberculosis complicated with intestinal tuberculosis: A case report
Lei Mao1, Xue-Ting Zhou1, Ji-Pin Li1
1Department of Gastroenterology, The Second Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China.
World Journal of Clinical Cases
|February 29, 2020
Summary
Esophageal tuberculosis (ET) is rare but can occur with intestinal tuberculosis (ITB). Early consideration of ET is crucial for high-risk tuberculosis patients presenting with dysphagia.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Pulmonology
Background:
- Esophageal tuberculosis (ET) is a rare manifestation of tuberculosis (TB), despite increasing TB incidence in underdeveloped regions.
- Intestinal tuberculosis (ITB) is more common, but concurrent ET and ITB are infrequently reported.
Observation:
- A 27-year-old female presented with dysphagia, retrosternal pain, and other upper gastrointestinal symptoms.
- Endoscopy revealed an esophageal ulcerative lesion, while colonoscopy showed ileal and colonic ulcers.
- Biopsies confirmed granulomas and positive Mycobacterium tuberculosis PCR in both esophageal and ileal lesions.
Findings:
- The patient was diagnosed with secondary ET with mediastinal lymphadenopathy, complicated by ITB.
- Polymerase chain reaction (PCR) and T-cell spot tests confirmed Mycobacterium tuberculosis infection.
- Anti-tuberculosis therapy led to significant symptom improvement and ulcer healing.
Implications:
- Dysphagia or odynophagia in individuals at high risk for TB warrants consideration of esophageal tuberculosis.
- This case highlights the possibility of secondary ET co-occurring with ITB.
- Prompt diagnosis and treatment of ET and ITB are essential for favorable outcomes.
Keywords:
Case reportDysphagiaEndoscopic ultrasonographyEsophageal tuberculosisIntestinal tuberculosisTuberculosis drug therapyMore Related Videos
Related Concept Videos
01:28Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K
01:31Pulmonary Tuberculosis III
821
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
821
01:29Pulmonary Tuberculosis I
757
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
757
01:28Pulmonary Tuberculosis V
485
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
485
01:26Pulmonary Tuberculosis IV
437
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
437
01:26Esophageal Strictures-II: Clinical Features and Management
340
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
340