Bresky R Gustavo, Silva Z Nelly, Madariaga G Juan
Escuela de Medicina Universidad Católica del Norte, Chile.
Rev Med Chil. 2007 Oct;135(10):1323-6. Epub 2007 Dec 20.
Tuberculosis rates in Chile are higher than expected during the last years. This is directly related to the increase of immunodeficiency associated to human immunodeficiency virus (HIV) infection. Gastrointestinal tuberculosis is the sixth in frequency of extra pulmonary localizations. We report an HIV(+) 55 year-old male, that presented with fever and epigastric pain. In an upper GI endoscopy small elevated lesions were described in the esophagus. Pathological study was suggestive of tuberculous infection. The definitive diagnosis of esophageal tuberculosis was obtained by a PCR test of the biopsy sample. Antituberculous therapy was started and one year later there was a regression but not disappearance of esophageal lesions and granulomas in the pathological study.
在过去几年中，智利的结核病发病率高于预期。这与人类免疫缺陷病毒（HIV）感染相关的免疫缺陷增加直接相关。胃肠道结核病在肺外定位频率中排名第六。我们报告了一名55岁的HIV阳性男性，他出现发热和上腹部疼痛。在上消化道内镜检查中，食管发现了小的隆起性病变。病理研究提示结核感染。通过活检样本的PCR检测确诊为食管结核。开始抗结核治疗，一年后食管病变有所消退，但病理研究中肉芽肿并未消失。
