Revista Peruana de Medicina Experimental y Salud Publica
ISSN 1726-4634 versión impresa
MONTOYA, Manuel, CHUMBIRAICO, Robert, RICALDE, Melvin et al. Blastomicosis oral, papilomatosis laríngea y tuberculosis esofágica. Rev. perú. med. exp. salud publica, jun. 2012, vol.29, no.2, p.250-254. ISSN 1726-4634.
Esophageal involvement is an extremely rare complication of tuberculosis even in countries with high prevalence of infection. We report the case of a 57 year-old hiv-seronegative patient with simultaneous diagnoses of oral blastomycosis and laryngeal papillomatosis. Both were confirmed by anatomopathological analysis. The esophageal biopsy revealed granulomatous esophagitis with necrosis and ziehl-neelsen stain showed acid-fast alcohol resistant bacilli suggestive of tuberculosis. The patient’s history included pulmonary tuberculosis twice and previous abandonment of therapy. Thus, it was necessary to use oral itraconazole combined with second-line anti-tuberculosis drugs administered through a gastrostomy tube. The clinical development was favorable
Palabras llave: Blastomycosis; Tuberculosis; Esophageal diseases; Papilloma; Mycoses.
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