An Interesting case of Dysphagia in a HIV Patient

*, Deepak Madi and *, Basavaprabhu Achappa and *, John T Ramapuram and Chowta, Nithyananda and * , Soundarya Mahalingam (2013) An Interesting case of Dysphagia in a HIV Patient. Journal of Clinical and Diagnostic Research, 7 (3). pp. 534-536.

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Oesophageal tuberculosis is a rare disease. Tuberculosis (TB) can cause dysphagia due to oesophageal ulcers, Tracheo-Oesophageal Fistulas (TOFs) and an extrinsic compression which is caused by the mediastinal lymph nodes. A 33-year-old gentleman was admitted to our hospital for the evaluation of fever, dysphagia and cough. His chest X-ray was suggestive of miliary tuberculosis. A CT scan of his chest revealed miliary tuberculosis, mediastinal lymphadenopathy and pneumomediastinum. His sputum AFB (acid-fast bacilli) test was positive. An upper gastrointestinal endoscopy revealed a large ulcer in the oesophagus with a fistulous opening which was suggestive of a tracheo-oesophageal fistula. A biopsy from the ulcer was positive for AFB. The test for HIV-1 was positive. A nasogastric feeding tube was placed and the Anti Tubercular Therapy ( ATT) was started. The main aim of this case report is to sensitize the clinicians about the fact that Tuberculosis can present with dysphagia, especially in HIV patients.

Item Type: Article
Uncontrolled Keywords: HIV, Dysphagia, Tuberculosis, Oesophageal ulcer, Tracheo-oesophageal fistula
Subjects: Medicine > KMC Mangalore > Paediatrics
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 09 Mar 2013 06:56
Last Modified: 09 Mar 2013 06:56

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