Desai Rahul R Prabhu, Keny Sanjivani, Lawande Durga
Senior Resident, Department of Pulmonary Medicine, Goa Medical College, India.
Associate Professor, Department of Pulmonary Medicine, Goa Medical College, India.
Indian J Tuberc. 2018 Apr;65(2):177-179. doi: 10.1016/j.ijtb.2017.02.005. Epub 2017 Apr 5.
Tubercular esophagocutaneous fistula is a rare entity with only about five cases reported so far. It can be as a result of primary involvement of esophagus by tuberculosis or due to spread of infection from adjacent structures like lungs or mediastinal lymph nodes. The fistula usually heals with initiation of antitubercular therapy and surgery is rarely required. Here we report a case of 65-year-old diabetic male who developed esophagocutaneous fistula secondary to caseation of mediastinal lymph nodes and was successfully treated with antitubercular treatment.