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1.
Clinical Endoscopy ; : 564-569, 2016.
Artículo en Inglés | WPRIM | ID: wpr-209981

RESUMEN

Mediastinal tuberculous lymphadenitis rarely mimics esophageal submucosal tumor, particularly in the case of multidrug-resistant tuberculosis (MDR-TB). Herein, we report the case of a 61-year-old woman who visited a local hospital complaining of odynophagia. An initial esophagogastroduodenoscopy revealed an esophageal submucosal tumor, and subsequent chest computed tomography showed subcarinal lymphadenopathy with an esophagomediastinal fistula. The patient was then referred to Samsung Medical Center, and a second esophagogastroduodenoscopy showed deep central ulceration, as well as a suspicious fistula in the esophageal submucosal tumor-like lesion. A biopsy examination of the ulcerative lesion confirmed focal inflammation only. Next, an endobronchial, ultrasound-guided lymph node biopsy was performed, and TB was confirmed. The patient initially began a course of isoniazid, rifampicin, ethambutol, and pyrazinamide. However, after a drug sensitivity test, she was diagnosed with MDR-TB, and second-line anti-TB medications were prescribed. She recovered well subsequently.


Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Biopsia , Endoscopía del Sistema Digestivo , Fístula Esofágica , Etambutol , Fístula , Inflamación , Isoniazida , Ganglios Linfáticos , Linfadenitis , Enfermedades Linfáticas , Pirazinamida , Rifampin , Tórax , Tuberculosis , Tuberculosis Ganglionar , Tuberculosis Resistente a Múltiples Medicamentos , Úlcera
2.
Korean Journal of Medicine ; : 292-295, 2016.
Artículo en Inglés | WPRIM | ID: wpr-20330

RESUMEN

Here we describe a case of rapidly expanding ascending aortic aneurysm in a patient with relapsing polychondritis. To prevent aneurysm rupture, the patient underwent emergent surgical repair. Silent inflammation can progress in the aorta wall, even in asymptomatic patients with mild disease activity under immunosuppressive treatment, leading to the rapid growth of aortic aneurysms. Close monitoring with routine imaging is needed once a patient with relapsing polychondritis is diagnosed with an aortic aneurysm.


Asunto(s)
Humanos , Aneurisma , Aorta , Aneurisma de la Aorta , Aortitis , Inflamación , Policondritis Recurrente , Rotura
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