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首页> 外文期刊>Journal of Clinical and Diagnostic Research >An Interesting Case of Dysphagia in a HIV Patient
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An Interesting Case of Dysphagia in a HIV Patient

机译：艾滋病毒患者吞咽困难的有趣案例

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Oesophageal tuberculosis is a rare disease. Tuberculosis (TB) can cause dysphagia due to oesophageal ulcers, Tracheo-Oesophageal Fistulas (TOFs) and an extrinsic compression which is caused by the mediastinal lymph nodes. A 33-year-old gentleman was admitted to our hospital for the evaluation of fever, dysphagia and cough. His chest X-ray was suggestive of miliary tuberculosis. A CT scan of his chest revealed miliary tuberculosis, mediastinal lymphadenopathy and pneumomediastinum. His sputum AFB (acid-fast bacilli) test was positive. An upper gastrointestinal endoscopy revealed a large ulcer in the oesophagus with a fistulous opening which was suggestive of a tracheo-oesophageal fistula. A biopsy from the ulcer was positive for AFB. The test for HIV-1 was positive. A nasogastric feeding tube was placed and the Anti Tubercular Therapy ( ATT) was started. The main aim of this case report is to sensitize the clinicians about the fact that Tuberculosis can present with dysphagia, especially in HIV patients.
机译：食管结核是一种罕见的疾病。由于食道溃疡，气管食管瘘（TOF）和由纵隔淋巴结引起的外在压迫，结核（TB）会导致吞咽困难。一名33岁的绅士因发热，吞咽困难和咳嗽而入我院。他的胸部X光片提示粟粒性结核病。胸部CT扫描显示粟粒性结核，纵隔淋巴结肿大和肺纵隔。他的痰AFB（抗酸杆菌）测试呈阳性。上消化道内窥镜检查显示食管有大溃疡，有瘘孔，提示气管食管瘘。溃疡活检对AFB呈阳性。 HIV-1测试呈阳性。放置鼻胃饲管并开始抗结核治疗（ATT）。该病例报告的主要目的是使临床医生意识到结核病会引起吞咽困难，特别是在艾滋病毒患者中。

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