Esophagomediastinal fistula as a complication of tuberculous mediastinal lymphadenitis

Intern Med. 1996 Dec;35(12):984-6. doi: 10.2169/internalmedicine.35.984.

Abstract

In a 44-year-old female esophagomediastinal fistula was found secondary to tuberculous mediastinal lymphadenitis. Chest computed tomography revealed amorphous air collection in the subcarinal region of the mediastinum with mediastinal lymphadenopathy. Esophagography with gastrografin confirmed esophagomediastinal fistula. The patient was treated with antituberculous therapy with rifampicin, isoniazid, pyrazinamide and ethambutol, resulting in resolution of the esophagomediastinal fistula and mediastinal lymphadenopathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibiotics, Antitubercular / administration & dosage*
  • Esophageal Fistula / diagnostic imaging
  • Esophageal Fistula / etiology*
  • Ethambutol / administration & dosage
  • Female
  • Fistula / diagnostic imaging
  • Fistula / etiology*
  • Humans
  • Isoniazid / administration & dosage
  • Mediastinal Diseases / diagnostic imaging
  • Mediastinal Diseases / etiology*
  • Pyrazinamide / administration & dosage
  • Radiography, Thoracic
  • Rifampin / administration & dosage
  • Tomography, X-Ray Computed
  • Tuberculosis, Lymph Node / complications*
  • Tuberculosis, Lymph Node / drug therapy

Substances

  • Antibiotics, Antitubercular
  • Pyrazinamide
  • Ethambutol
  • Isoniazid
  • Rifampin