Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Esophago-mediatinal Fistula Due to Esophageal Tuberculosis

식도-종격동 누공을 동반한 식도결핵 1예

  • Park, Eun Ho (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Jang, Tae Won (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Park, Mu In (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Song, Jun Young (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Choi, In Su (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Ok, Chul Ho (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Jung, Maan Hong (Department of Internal Medicine, College of Medicine, Kosin University) ;
  • Kwon, Jin Hwa (Department of Radiology, College of Medicine, Kosin University)
  • 박은호 (고신대학교 의과대학 내과학교실) ;
  • 장태원 (고신대학교 의과대학 내과학교실) ;
  • 박무인 (고신대학교 의과대학 내과학교실) ;
  • 송준영 (고신대학교 의과대학 내과학교실) ;
  • 최인수 (고신대학교 의과대학 내과학교실) ;
  • 옥철호 (고신대학교 의과대학 내과학교실) ;
  • 정만홍 (고신대학교 의과대학 내과학교실) ;
  • 권진환 (고신대학교 의과대학 방사선학교실)
  • Received : 2007.03.26
  • Accepted : 2007.05.15
  • Published : 2007.06.30
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Abstract

The esophagus is a rate site for rarely involved site of tuberculosis. The most common cause of esophageal tuberculosis is secondary involvement from adjacent tuberculous lymphadenitis. Esophago-nodal or esophagobronchial fistulas may be formed when tuberculous lymph nodes erode the adjacent esophageal or bronchial wall. We report a patient diagnosed with esophageal tuberculosis, which was complicated by an esophago-mediastinal fistula, by endoscopy, sputum acid fast bacilli (AFB) stain, chest computed tomography (CT), and an esophagogram. The patient was treated with antituberculous agents and chest CT and endoscopy showed that the fistula had closed completely.

식도결핵은 매우 드문 질환으로 원발성으로 발생하는 경우는 거의 없고 발생한다 하더라도 대부분 속발성으로 발생한다. 가장 흔한 원인으로는 종격동 림프절의 침범에 의해 인접해 있는 식도로 전파되는 것으로 이러한 경우 식도-종격동 누공 등의 합병증이 발생할 수가 있다. 저자들은 식도결핵 및 이의 합병증으로 식도-종격동 누공이 형성된 환자를 항결핵제 투여만으로 식도결핵의 호전과 누공의 폐쇄를 경험하였기에 보고하는 바이다.

Keywords

References

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