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A Case of Bronchoesophageal Fistula Mimicking Pulmonary Tuberculosis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 303-308, 2008.
Article in Korean | WPRIM | ID: wpr-75870
ABSTRACT
Benign bronchoesophageal fistula is a rare disease and it may be characterized by nonspecific symptoms that can cause a delayed diagnosis. We misdiagnosed a patient with recurrent aspiration, which was due to bronchoesophageal fistula, as active pulmonary tuberculosis. The patient was 44 year old female who had suffered from chronic cough, especially during eating liquid meals, since 1982 when she had been treated for tuberculous lymphadenitis. Computed tomography showed an irregular mass with surrounding centrilobular nodules in the superior segment of the right lower lobe (RLL). She was diagnosed as having active pulmonary tuberculosis and treated with anti-tuberculosis medication, but she continued to complain of persistent cough even after anti-tuberculosis treatment. Thus, we reexamined the patient, and bronchoesophageal fistula between the esophagus and the superior segment of the RLL was finally confirmed by esophagography. After the fistula was surgically treated, the patient became asymptomatic and she then experienced good health.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Tuberculosis / Tuberculosis, Lymph Node / Tuberculosis, Pulmonary / Fibrin Tissue Adhesive / Cough / Rare Diseases / Eating / Esophagus / Delayed Diagnosis / Meals Type of study: Diagnostic study Limits: Female / Humans Language: Korean Journal: Tuberculosis and Respiratory Diseases Year: 2008 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Tuberculosis / Tuberculosis, Lymph Node / Tuberculosis, Pulmonary / Fibrin Tissue Adhesive / Cough / Rare Diseases / Eating / Esophagus / Delayed Diagnosis / Meals Type of study: Diagnostic study Limits: Female / Humans Language: Korean Journal: Tuberculosis and Respiratory Diseases Year: 2008 Type: Article