Salavert Lleti M, Navarro Ibáñez V, Nieto García A, Ferrer Tuset C, Jiménez Nacher J J, López Chulia F
An Med Interna. 1989 Jun;6(6):309-11.
A case of a 27 year old female diagnosed as having TB and AIDS, who had a mediastinal lymph node fistulized to the esophagus, is presented. We correlate this description to 2 important aspects: 1) lymph node TB as the most frequent cause of extrapulmonary TB; 2) The association of TB and AIDS. We analysed the rareness of this association, suggesting the possible mechanism of production, commenting on the main clinical features and diagnostic/therapeutic attitudes of esophago-mediastinal fistula of TB origin.
本文介绍了一例27岁女性患者，该患者被诊断为患有结核病和艾滋病，其纵隔淋巴结与食管形成了瘘管。我们将此描述与两个重要方面相关联：1）淋巴结结核是肺外结核最常见的病因；2）结核病与艾滋病的关联。我们分析了这种关联的罕见性，提出了可能的产生机制，并对结核源性食管纵隔瘘的主要临床特征及诊断/治疗方法进行了评论。
