Mengistu Segenet Bizuneh, Kirub Alula Abebe, Abebe Chalew Mengesha, Abera Samuel Addisu
Department of Internal Medicine, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Department of Radiology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
IDCases. 2025 Aug 13;41:e02345. doi: 10.1016/j.idcr.2025.e02345. eCollection 2025.
Esophageal tuberculosis (TB) is an exceptionally rare manifestation of extra-pulmonary TB, often presenting diagnostic challenges due to its nonspecific symptoms and similarity to malignancies. We report the case of a 30-year-old female from rural Gondar, Ethiopia, who presented with progressive dysphagia and significant weight loss. Diagnosis was confirmed through endoscopic biopsy, revealing tuberculous esophageal ulcer. Our case underscores the importance of considering TB in the differential diagnosis of esophageal ulcers, particularly in TB-endemic regions. In addition, we compare this case with the existing literature, which highlights the varied clinical presentations and diagnostic challenges of esophageal TB.
食管结核是肺外结核一种极其罕见的表现形式，因其症状不具特异性且与恶性肿瘤相似，常常带来诊断挑战。我们报告了一例来自埃塞俄比亚贡德尔农村地区的30岁女性病例，该患者出现进行性吞咽困难并伴有显著体重减轻。通过内镜活检确诊，显示为结核性食管溃疡。我们的病例强调了在食管溃疡鉴别诊断中考虑结核的重要性，特别是在结核病流行地区。此外，我们将此病例与现有文献进行了比较，这些文献突出了食管结核多样的临床表现和诊断挑战。
