Integrative Gastroenterology and Hepatology

Vol. 2 No. 1 (2019): Current Issue
Case Report

Miliary Tuberculosis with Mediastinal and Cervical Lymph Node Involvement Complicated by an Eso- Mediastinal Fistula

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  • Guglielmi S,
  • Guglielmi G,
  • Mönig S,
  • Janssens JP,
  • Spahr L
Guglielmi S
Division of Gastroenterology and Hepatology, Geneva University Hospital, Geneva, Switzerland
Guglielmi G
Division of Radiology, Geneva University Hospital, Geneva, Switzerland
Mönig S
Division of Visceral Surgery, Geneva University Hospital, Geneva, Switzerland
Janssens JP
Division of Pneumology, Geneva University Hospital, Geneva, Switzerland
Spahr L
Division of Gastroenterology and Hepatology, Geneva University Hospital, Geneva, Switzerland

Published 2019-09-02

Keywords

  • Tuberculosis,
  • Esophagus,
  • Fistula
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Abstract

Esophageal involvement in tuberculosis is rare even in highly endemic areas for tuberculosis and is most often secondary to concomitant mediastinal lymph node infection. Endoscopy and imaging are essential for diagnosis. Conservative treatment is possible but the major risk is mediastinitis secondary to an eso-mediastinal fistula.

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