RARE CASE OF PRIMARY MULTI DRUG RESISTANCE TUBERCULOSIS WITH HUMAN IMMUNODEFICIENCY VIRUS INFECTION AND TRACHEOESOPHAGEAL FISTULA
Abstract
In 2012, one fourth of the TB cases reported globally occurred in India. Complications due to tuberculosis have increased due to immunodeficiency. Tracheoesophageal fistula is a rare complication of tuberculosis, presenting with recurrent respiratory tract infection and cough while swallowing liquids. Most common reason for fistula could be due to rupture of the caseonecrotic mediastinal lymph node. We are reporting an immunodeficient patient with tracheoesophageal fistula due to tuberculosis. Sputum line probe assay was sent to intermediate research laboratory (IRL Chennai) to assess drug resistance pattern, which showed resistance to rifampicin and sensitive to isoniazid. Patient was diagnosed to have primary multidrug resistance TB as there was no previous history of anti-tuberculous treatment. Tracheoesophageal fistula was managed conservatively with PEG (Percutaneous endoscopic gastrostomy) because of active infection.
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Spalding AR, Burney DP, Richie RE. Acquired benign bronchoesophageal fistulas in the adult. Ann Thorac Surg 1979;28:379-83
Shah CP, Yeolekar ME, Pardiwala FK. Acquired tracheo-oesophageal fistula. J Postgrad Med 1994;40:83-4
Bashi SA, Laajam MB, Joharjy IA, Abdullah AK. Tuberculous oesophagopulmonary communication: Effectiveness of antituberculous chemotherapy. A case report and review of literature. Digestion 1985;32:145-8
Braimbridge MV, Keith HI. Oesophago-bronchial fistula in the adult. Thorax 1965;20:226-33 5. Wigley FM, Murray HW, Mann RB, Saba GP, Kashima H, Mann JJ. Unusual manifestation of tuberculosis: TE fistula. Am J Med 1976;60:310-4
Devarbhavi HC, Alvares JF, Radhikadevi M. Esophageal tuberculosis associated with esophagotracheal or esophagomediastinal fistula: Report of 10 cases. Gastrointest Endosc 2003;57:588-92.
Porter JC, Friedland JS, Freedman AR. Tuberculous bronchoesophageal fistulae in patients infected with the human immunodeficiency virus: Three case reports and review. Clin Infect Dis 1994;19:954-7
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