Esophagomediastinal Fistula Secondary to Multidrug-resistant Tuberculous Mediastinal Lymphadenitis
-
- Ko Yousang
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Lee Ho-Young
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Lee Young-Seok
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Kim Mi-Yeong
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Lee Young-Min
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Seon Kang Mi
- Department of Pathology, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Hwan Shin Jeong
- Department Laboratory Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Jin Choi Seok
- Department of Radiology, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Lee Yang-Haeng
- Department of Thoracic and Cardiovascular Surgery, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
-
- Lee Hyun-Kyung
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Republic of Korea
この論文をさがす
抄録
Esophagomediastinal fistula secondary to mediastinal tuberculosis (TB) lymphadenitis is a rare and unusual complication. A 32-year-old woman visited our clinic because of chest pain. Computed tomography (CT) demonstrated an esophagomediastinal fistula with subcarinal lymphadenopathy and no remarkable parenchymal lung lesions. The esophagomediastinal fistula was confirmed by esophagoscopy; however, the patient's bronchoscopy findings were unremarkable. The endobronchial ultrasound-guided lymph node aspiration did not confirm a diagnosis of TB. Finally, the patient was diagnosed via a lymph node biopsy. A drug-sensitivity test revealed the presence of a multidrug-resistant pathogen. To the best of our knowledge, this is the first case of esophagomediastinal fistula secondary to multidrug-resistant (MDR-) TB mediastinal lymphadenitis.<br>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 53 (16), 1819-1824, 2014
一般社団法人 日本内科学会