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An unusual cause of acquired tracheo-oesophageal fistula in a patient undergoing chemotherapy

ANU KORULA

Abstract


Fungal infection is a common complication
following intensive chemotherapy for
acute myeloid leukemia. Fungal infections
commonly involve the lungs, paranasal
sinuses or the skin. Our patient
was evaluated for complaints of a choking
sensation in the throat, and was
found to have a trachea-oesophageal
fistula with an eroding growth, which on
biopsy was proven to be mucormycosis.
Even with unusual presentation such as
this, a high index of suspicion for an infective
etiology is required in patients following
high dose chemotherapy.


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