Chan A C, Leung J S, Lee A K, Li R, Tam C M, Leung C C, Law W S
Tuberculosis and Chest Service, Department of Health, Hong Kong.
Respirology. 2000 Dec;5(4):397-401.
Broncho-oesophageal fistula associated with tuberculosis is rarely reported in the literature and has not been reported in Hong Kong. We describe a 30-year-old Chinese human immunodeficiency virus (HIV)-negative man with double tuberculous broncho-oesophageal fistulas proven by histology. Constitutional symptoms of active tuberculosis were absent and chest radiograph did not show an obvious lung lesion. Our case shows that broncho-oesophageal fistula can be the sole manifestation of active tuberculosis and that the diagnosis should be suspected in patients who are seen with chronic respiratory symptoms in areas where the prevalence of tuberculosis is high.
支气管食管瘘合并肺结核在文献中鲜有报道，在香港也未见相关报道。我们描述了一名30岁的中国男性，人类免疫缺陷病毒（HIV）检测为阴性，经组织学证实患有双肺结核性支气管食管瘘。该患者无活动性肺结核的全身症状，胸部X线片未显示明显的肺部病变。我们的病例表明，支气管食管瘘可能是活动性肺结核的唯一表现，在结核病高发地区出现慢性呼吸道症状的患者应怀疑此病。
