Presentation
Esophageal tuberculosis secondary to tuberculous mediastinal lymphadenopathy is a very unusual presentation of adult tuberculosis. We report a patient presenting with fever of unknown origin and dysphagia. [ncbi.nlm.nih.gov]
Entire Body System
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Fever of Unknown Origin
We report a patient presenting with fever of unknown origin and dysphagia. Barium swallow demonstrated esophageal displacement, mucosal ulceration and perforation with a fistulous tract into the mediastinum. [ncbi.nlm.nih.gov]
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Progressive Dementia
—78-year-old woman with rapid progressive dementia and myoclonus. [ajronline.org]
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Localized Edema
Endoscopic examination of the more characteristic of the mirror seen: esophageal mucosa is shallow in rat rodent ulcers, the base was gray, with exudate, local edema. esophageal mucosa can have a number of yellow ridge-like granulation tissue, the so-called [healthfrom.com]
Gastrointestinal
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Dysphagia
The unusual cause and the interesting clinical course of dysphagia are described. [ncbi.nlm.nih.gov]
Interesting case of spontaneously resolved dysphagia in a young female due to complicated esophageal tuberculosis. Gastroenterology Insights, 8 (1). [pagepress.org]
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Gagging
Risk factors Children – tendency to put Oesophageal strictures, carcinoma Psychosis Loss of consciousness – seizures, alcohol, deep sleep C/F Choking/gagging at time of ingestion Pain/discomfort Dysphagia/odynophagia Drooling of [de.slideshare.net]
Workup
Here, we report a case of isolated colonic tuberculosis where the initial diagnostic workup was suggestive of Crohn's disease. [gastrointestinalatlas.com]
Skin Test
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PPD Skin Test Positive
skin test) positive, serum tuberculosis antibody positive. (5) X-ray barium angiography: esophageal tuberculosis esophageal cavity with filling defects and ulcers, or mucosal lesions were altered, the wall slightly stiff, mediastinal lymph node tuberculosis [healthfrom.com]
Microbiology
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Acid-Fast Bacilli in the Sputum
Sputum became positive for acid-fast bacilli (AFB) and sputum culture was reported to be positive for Mycobacterium tuberculosis. [sjkdt.org]
Treatment
Interventions used included endoscopy, EUS, EUS-FNA (fine needle aspiration) followed by antituberculosis treatment. The main outcome measurements were symptoms, endoscopic features, EUS features, pathological yield, and response to treatment. [ncbi.nlm.nih.gov]
Treatment Summary of treatment of esophageal tuberculosis Department of Oncology Surgery Department of Oncology Surgery Department of Oncology Surgery Treatment: Surgical treatment of drug treatment supportive treatment Treatment cycle: 9 months Cure [healthfrom.com]
Prognosis
The majority of cases is treated in an effective way with the typical tuberculostatic regimen for pulmonary TB, although the diagnosis and treatment delay worsens the prognosis [ 8 ]. [omicsonline.org]
[…] gastronomy (rare) 1 complication of acute radiation-induced esophagitis infective etiology affecting the esophagus 3,4 esophageal tuberculosis esophageal syphilis esophageal histoplasmosis esophageal actinomycosis esophageal candidiasis Treatment and prognosis [radiopaedia.org]
Hematemesis most often is due to arterioesophageal fistula with grave prognosis. In this patient upper gastrointestinal bleeding was due to ulceration in the mid-esophagus due to erosion of tuberculous subcarinal lymph nodes. [wjgnet.com]
(B) prognosis Esophageal tuberculosis, such as early detection, early diagnosis and early treatment, the prognosis is good. [healthfrom.com]
Ollé Goig JE, Sandy R (2003) Prognosis of mono-and polydrug resistant pulmonary tubercolosis in the city of Santa Cruz, Bolivia. Arch Bronconeumol 39:382–386 PubMed CrossRef Google Scholar 13. [link.springer.com]
Etiology
A positive T-spot (R) TB assay result, together with the bronchoscopic detection of a small exophytic lesion at the right main bronchus depicting caseating epitheloid cell granulomas, provided evidence for a tuberculous etiology of the esophageal tumor [ncbi.nlm.nih.gov]
Jain et al. reviewed 2176 patients with over 6-week dysphagia and found only 12 confirmed cases of tuberculosis as etiology of the symptom [9]. [scielo.br]
Our aim is to study tuberculosis as an etiological factor in the causation of dysphagia, the role of cytology and histopathology in establishing its diagnosis, and the outcome of antitubercular treatment in these patients. [nature.com]
Epidemiology
Section I presents basic concepts of epidemiology, pathophysiology, diagnosis, medical and surgical therapy, drug-resistant tuberculosis, vaccines, and tuberculosis in enclosed populations. [asmscience.org]
Epidemiology of Tuberculosis. In: UpToDate, Lerner SP (Ed), UpToDate, Waltham, MA. Oeltmann JE, Kammerer JS, Pevzner ES, Moonan PK. Tuberculosis and substance abuse in the United States, 1997-2006. [verywell.com]
According to past medical history, it could be reactivation of TB but it need an epidemiologic antecedent (contacts). However, i think that my second diagnosis take more interest because TB increase the risk for cancer. [blog.myesr.org]
[…] tuberculosis is a specific product of Mycobacterium tuberculosis, is to identify whether the human body infected with Mycobacterium tuberculosis and the body's response to Mycobacterium tuberculosis infection of a biological agent, widely used in tuberculosis epidemiological [healthfrom.com]
Epidemiology of extra-pulmonary tuberculosis in the United States: high rates persist in the post-HIV era. Int J Tuberc Lung Dis 2014;18:1516-1521. 8. Mou Y, Zeng H, Wang QM, et al. [e-ce.org]
Pathophysiology
Section I presents basic concepts of epidemiology, pathophysiology, diagnosis, medical and surgical therapy, drug-resistant tuberculosis, vaccines, and tuberculosis in enclosed populations. [asmscience.org]
Pathophysiology Abdominal tuberculosis Primary Secondary 10 Abdominal TB results from ingestion of milk or food infected with Mycobacterium bovis, has become very rare these days. Mycobacterium tuberculosis is the pathogen in most of the 20 cases [slideshare.net]
The pathophysiology is related to the inflammation that occurs when the recovered immune system targets either live microorganisms or antigens from dead microorganisms 3 – 7. [f1000research.com]
Is phrenic nerve palsy part of the pathophysiological mechanism in strangulation and hanging?". Am J Forensic Med Pathol. 31 : 100–2. doi : 10.1097/PAF.0b013e3181c297e1. PMID 19935388. Cooper, Angus. [en.wikipedia.org]
Prevention
It accounts for 0.3% of all reported GI TB cases. [11] This is probably because of stratified squamous epithelium and peristalsis of the esophagus that prevents stasis of infected mucus if any. [ijtonline.in]
Prevention Prevention of esophageal tuberculosis Improve the body immunity and to avoid contact with tuberculosis patients, is an important measure to prevent esophageal tuberculosis, for open tuberculosis patients, to avoid ingestion of Mycobacterium [healthfrom.com]
[…] and early detection of cervical cancer: American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. [nccn.org]
Chest radiography can also be used as a screening tool for prevention. In high-prevalence countries, an x-ray exam is recommended by WHO/UNAIDS before starting isoniazid preventive therapy for HIV-related TB. [auntminnie.com]
Centers for Disease Control and Prevention. . Updated November 21, 2014. Tuberculosis and HIV Infection. World Health Organization.. Updated February 2018. [verywell.com]