Mediastinal tuberculosis with oesophageal perforation.

Important note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.

Mediastinal tuberculosis with oesophageal perforation.

Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:32 (abstract no. FC2). Unique Identifier : AIDSLINE ASHM5/94348957
Dore G; St Vincent's Hospital, Darlinghurst, Sydney.

Abstract: A 43 year old homosexual man, known seropositive for Human Immunodeficiency Virus (HIV) since 1984, with a CD4 Lymphocyte count of 40 x 109/ml, but with no prior Acquired Immunodeficiency Syndrome (AIDS) defining illness, presented with a three-week history of fevers, non-productive cough, pleuritic chest pain and dysphagia. Physical examination revealed normal chest auscultation, no lymphadenopathy or hepatosplenomegaly. A chest x-ray showed some widening of the superior mediastinum, but the lung fields were clear. Endoscopic examination revealed a perforated oesophageal ulcer at 30 centimetres, and a gastrograffin swallow demonstrated a small leak into the mediastinum. Mycobacterium were seen on Auramine and Ziehl-Neelsen stains of the biopsies from the ulcer edge. A mediastinal biopsy grew Mycobacterium tuberculosis. The patient defervesced rapidly with standard anti-tuberculosis therapy and the perforation had healed at endoscopic follow-up one month later.

Keywords: Adult AIDS-Related Opportunistic Infections/*DIAGNOSIS/PATHOLOGY Biopsy Case Report Esophageal Diseases/*DIAGNOSIS/PATHOLOGY Esophageal Perforation/*DIAGNOSIS/PATHOLOGY Esophagus/PATHOLOGY Human Male Mycobacterium tuberculosis/ISOLATION & PURIF Tuberculosis, Gastrointestinal/*DIAGNOSIS/PATHOLOGY ABSTRACT
941230
M94C4270

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