Open AccessMiliary Tuberculosis with Mediastinal and Cervical Lymph Node Involvement Complicated by an Eso- Mediastinal Fistula
Author(s) -
S Guglielmi,
G Guglielmi,
Stefan P. Mönig,
Janssens Jp,
Laurent Spahr
Publication year - 2019
Publication title -
integrative gastroenterology and hepatology
Language(s) - English
Resource type - Journals
ISSN - 2637-6954
DOI - 10.18314/igh.v2i1.1885
Subject(s) - medicine , tuberculosis , mediastinum , mediastinal lymph node , fistula , concomitant , radiology , mediastinitis , lymph node , surgery , pathology , metastasis , cancer
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.