Dysphagia as an Uncommon Presentation of Disseminated Tuberculosis: A Case Report

Authors

  • Bimal Chandra Shil Professor & Head, Department of Gastroenterology, Sir Salimullah Medical College Mitford Hospital, Dhaka, Bangladesh
  • Ranjit Kumar Banik Associate Professor, Department of Gastroenterology, SSMC MH, Dhaka, Bangladesh
  • Shasanka Kumar Saha Associate Professor, Department of Gastroenterology, SSMC MH, Dhaka, Bangladesh
  • Md Royes Uddin Assistant Professor, Department of Gastroenterology, SSMC MH, Dhaka, Bangladesh
  • ANM Saifullah Assistant Professor, Department of Gastroenterology, SSMC MH, Dhaka, Bangladesh
  • Md Mamun ur Rashid Resident, Department of Gastroenterology, SSMC, Dhaka, Bangladesh
  • Imteaz Mahbub Gastroenterology, Resident, Department of Gastroenterology,SSMC, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v38i3.47063

Keywords:

Tuberculosis, weight loss, Primary esophageal tuberculosis

Abstract

This is a case report of a 57-year old farmer who presented with a 4 months history of dysphagia and weight loss. Upper gastrointestinal endoscopy revealed submucosal swellings with overlying ulcers at mid to lower part of esophagus. Repeated histopathological evaluation of endoscopic esophageal tissue biopsies showed nonspecific findings. Endoscopic ultrasound showed a hypoechoic mass at submucosal layer with periesophageal lymphadenopathy. Endosonogram guided FNA materials depicted caseating granulomas. Patient was managed with anti-tuberculosis therapy. Follow up endosonography after therapy revealed resolution of the growth and the mediastinal lymph node enlargement and patient was symptomatically improved.

J Bangladesh Coll Phys Surg 2020; 38(3): 150-154

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Published

2020-05-12

How to Cite

Shil, B. C., Banik, R. K., Saha, S. K., Uddin, M. R., Saifullah, A., Rashid, M. M. ur, & Mahbub, I. (2020). Dysphagia as an Uncommon Presentation of Disseminated Tuberculosis: A Case Report. Journal of Bangladesh College of Physicians and Surgeons, 38(3), 150–154. https://doi.org/10.3329/jbcps.v38i3.47063

Issue

Section

Case Reports