Blastomicosis oral, papilomatosis laríngea y tuberculosis esofágica / Oral blastomycosis, laryngeal papillomatosis and esophageal tuberculosis
Rev. peru. med. exp. salud publica
; 29(2): 250-254, abr.-jun. 2012. ilus
Article
in Spanish
| LILACS, LIPECS
| ID: lil-644010
Responsible library:
BR1.1
RESUMEN
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.
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 patients 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.
Full text:
Available
Collection:
National databases
/
Peru
Health context:
Neglected Diseases
Health problem:
Neglected Diseases
/
Tuberculosis
Database:
LILACS
/
LIPECS
Main subject:
Papilloma
/
Tuberculosis, Gastrointestinal
/
Blastomycosis
/
Laryngeal Neoplasms
/
Esophageal Diseases
/
Mouth Diseases
Type of study:
Risk factors
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Rev. peru. med. exp. salud publica
Year:
2012
Document type:
Article
Institution/Affiliation country:
Hospital Regional del Cusco/PE
/
Universidad Nacional de San Antonio Abad del Cusco/PE