Related Experiment Videos
Mediastinal tuberculous lymphadenitis causing a broncho-mediastinal-oesophageal fistula
Sara-Jane Horne1, Anuradha Alwis1, Cyrus Daneshvar2
1General Surgery, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Abstract:
Mediastinal tuberculous lymphadenitis and tuberculous fistulae are recognised complications of pulmonary tuberculosis (TB); however, we could find no documented cases of broncho-mediastinal-oesophageal fistulae.We describe the case of a patient in their early 20s from a South Asian country with endemic TB who presented to a UK hospital with a productive cough, fevers, reduced appetite, inter-scapular pain and feeling generally unwell. They were initially diagnosed with community-acquired pneumonia but their symptoms were refractory to antibiotic therapy. Following CT and endoscopy with biopsies, they were diagnosed with TB with a complex broncho-mediastinal-oesophageal fistula secondary to mediastinal tuberculous lymphadenitis.They were treated with anti-TB therapy and resumed on oral intake 201 days after initial admission. A multidisciplinary approach was required to address multiple medical and surgical issues, including nutrition and delivery of anti-TB therapy.
Related Concept Videos
Pulmonary Tuberculosis II
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...
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Pulmonary Tuberculosis I
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...
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Mitral Stenosis I: Introduction