Dwivedi Sankalp, Schrickel E Brooke, Siddiqui Fayez, O'Brien John, Kruer James
St. Mary Mercy Livonia Hospital, Department of Internal Medicine, Livonia, MI 48154, USA.
St. Mary Mercy Livonia Hospital, Graduate Medical Education, Livonia, MI 48154, USA.
Case Rep Gastrointest Med. 2016;2016:9747193. doi: 10.1155/2016/9747193. Epub 2016 Jun 6.
A 42-year-old male presented with worsening gastroesophageal reflux disease symptoms and cough. The clinical symptoms during the early course of illness were striking for aspiration pneumonia. He was given a prescription of proton pump inhibitors and antibiotics. Rapid decline in the clinical condition with worsening respiratory status was noted. Worsening symptoms of fever, cough, and chest pain prompted further diagnostic work-up suggesting esophageal microperforation. Esophagogram was found to be suggestive of tracheoesophageal fistula. The tracheoesophageal fistula was due to subcarinal lymph node of nontuberculous origin.
一名42岁男性出现胃食管反流病症状加重及咳嗽。疾病早期的临床症状以吸入性肺炎为显著特征。他接受了质子泵抑制剂和抗生素治疗。随后发现其临床状况迅速恶化，呼吸状态变差。发热、咳嗽及胸痛症状加重促使进一步检查，结果提示食管微小穿孔。食管造影显示提示存在气管食管瘘。该气管食管瘘是由非结核性来源的隆突下淋巴结所致。
