DOI: 10.12890/2022_003624
Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
Authors
subbuaruna@rediffmail.com
Keywords
Tuberculosis, tracheoesophageal fistula, multifocal skeletal lesions, ovarian neoplasm, anti-tubercular therapy, tropical diseasesAbstract
Disseminated tuberculosis (TB) can mimic metastatic disease because of its multi-organ involvement (including bones), which can make the diagnosis much more complicated. Tracheoesophageal fistula is a very uncommon manifestation of TB, as is multifocal skeletal TB. There are reports of TB presenting either as multifocal skeletal TB or as tracheoesophageal fistulae, but we could not find any case reports describing both of these entities in a single patient and essentially mimicking a metastatic oesophageal neoplasm. However, we here describe one such case, which was managed medically.
References
- Kim HS, Khemasuwan D, Diaz-Mendoza J, Mehta AC. Management of tracheo-oesophageal fistula in adults. Eur Respir Rev 2020 Nov 5;29(158):200094.
- Hasan L, Sharma B, Goldenberg SA. Acquired tracheoesophageal fistulas: a case report and review of diagnostic and management challenges. Cureus 2022 Mar 19;14(3):e23324.
- Sagar AES, Cherian SV, Estrada-Y-Martin RM. Tuberculous tracheoesophageal fistula: a rare entity. Arch Bronconeumol 2018 Mar 1;54(3):157.
- Baleguli V, Rizvi S, Varghese M, Ilyas J. A rare cause of esophageal dysphagia – secondary esophageal tuberculosis. Cureus 2022 Jan;14(1):e21019.
- Go SW, Lee HY, Lim CH, Jee WH, Wang YP, Yoo IR, et al. Atypical disseminated skeletal tuberculosis mimicking metastasis on PET-CT and MRI. Intern Med 2012;51(20):2961–2965.
- Choi EH, Coyle WJ. Gastrointestinal tuberculosis. Microbiol Spectr 2016 Dec;4(6).
- Mokoena T, Shama DM, Ngakane H, Bryer JV. Oesophageal tuberculosis: a review of eleven cases. Postgrad Med J 1992 Feb;68(796):110–115.
- Ministry of Health & Family Welfare, Central Tuberculosis Division. Guidelines. Available from: https://tbcindia.gov.in/index1.php?page=2&ipp=10&lang=1&level=1&sublinkid=4571&lid=3176 (accessed 29 Sept 2022).
- World Health Organization. WHO consolidated guidelines on tuberculosis: module 4: treatment: drug-resistant tuberculosis treatment. Available from: https://www.who.int/publications/i/item/9789240007048 (accessed 29 Sept 2022)