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1.
Rev Peru Med Exp Salud Publica ; 29(2): 250-4, 2012 Jun.
Article in Spanish | MEDLINE | ID: mdl-22858774

ABSTRACT

Esophageal involvement is an extremely rare complication of tuberculosis even in countries with high prevalence of infection. We report the case of a 57 year-old hiv-seronegative patient with simultaneous diagnoses of oral blastomycosis and laryngeal papillomatosis. Both were confirmed by anatomopathological analysis. The esophageal biopsy revealed granulomatous esophagitis with necrosis and ziehl-neelsen stain showed acid-fast alcohol resistant bacilli suggestive of tuberculosis. The patient's history included pulmonary tuberculosis twice and previous abandonment of therapy. Thus, it was necessary to use oral itraconazole combined with second-line anti-tuberculosis drugs administered through a gastrostomy tube. The clinical development was favorable.


Subject(s)
Blastomycosis/complications , Esophageal Diseases/complications , Esophageal Diseases/microbiology , Laryngeal Neoplasms/complications , Mouth Diseases/complications , Papilloma/complications , Tuberculosis, Gastrointestinal/complications , Humans , Male , Middle Aged
2.
Rev. peru. med. exp. salud publica ; 29(2): 250-254, abr.-jun. 2012. ilus
Article in Spanish | LILACS, LIPECS | ID: lil-644010

ABSTRACT

El compromiso esofágico es una complicación infrecuente de la tuberculosis incluso en países con alta prevalencia de infección. Se presenta el caso de un paciente de 57 años no seropositivo al virus de inmunodeficiencia humana (VIH), con diagnóstico simultáneo de blastomicosis en cavidad oral y papilomatosis laríngea, ambas confirmadas por anatomía patológica. La biopsia de esófago reveló esofagitis granulomatosa con necrosis; la tinción de Ziehl-Neelsen mostró bacilos ácido-alcohol resistente, sugerentes de tuberculosis. El antecedente de tuberculosis pulmonar en dos oportunidades y abandono de tratamiento determinó el inicio de tratamiento antituberculoso de segunda línea a través de un tubo de gastrostomía, más itraconazol vía oral. La evolución fue favorable.


Esophageal involvement is an extremely rare complication of tuberculosis even in countries with high prevalence of infection. We report the case of a 57 year-old hiv-seronegative patient with simultaneous diagnoses of oral blastomycosis and laryngeal papillomatosis. Both were confirmed by anatomopathological analysis. The esophageal biopsy revealed granulomatous esophagitis with necrosis and ziehl-neelsen stain showed acid-fast alcohol resistant bacilli suggestive of tuberculosis. The patient’s history included pulmonary tuberculosis twice and previous abandonment of therapy. Thus, it was necessary to use oral itraconazole combined with second-line anti-tuberculosis drugs administered through a gastrostomy tube. The clinical development was favorable.


Subject(s)
Humans , Male , Middle Aged , Blastomycosis/complications , Esophageal Diseases/complications , Esophageal Diseases/microbiology , Laryngeal Neoplasms/complications , Mouth Diseases/complications , Papilloma/complications , Tuberculosis, Gastrointestinal/complications
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