Ahmet Karaman (), Abdülsamet Erden (), Hatice Karaman ()

Nadir bir disfaji nedeni: Özofagus tüberkülozu

Tüberküloz ülkemizin ve gelişmekte olan ülkelerin yeniden gündemine gelen bir halk sağlığı problemidir. İmmunsupresif ajanların yaygın kullanımı, endemik bölgelerden olan göçler, artan HIV enfeksiyonu gibi sebeplerle gelişmiş ülkelerde de tüberküloz sıklığında artış gözlenmektedir. Tüberküloz multisistemik tutulum gösteren histopatolojik olarak kazeifiye granülomlarla karakterize bir enfeksiyon hastalığıdır. Gastrointestinal tüberküloz; Almanya'dan bildirilen tüberküloz olgularının ~% 1.2'sini oluşturur ve altıncı en yaygın ekstrapulmoner tüberküloz yeridir. Akla getirilmezse kolayca atlanabilir, tanı gecikebilir ve sonuçta morbidite ve mortalite artabilir. Bu bildiride yutma güçlüğü şikayeti ile gelen bir vaka sunulacaktır.

Anahtar Kelimeler:

Özofagus, tüberküloz

A rare cause of dysphagia: Esophageal tuberculosis

Tuberculosis is an important public health problem in our country and in the world. Because of the use of immunosuppressive agents, increasing human immunodeficiency virus infection, and immigration, tuberculosis is seen in developed countries as well. Tuberculosis is a multisystemic infectious disea-se characterized by granulomatous reaction. Gastrointestinal tuberculosis is responsible for 1.2% of extrapulmonary tuberculosis in Germany. Mortality and morbidity may increase if diagnosis of the disease cannot be done or is delayed. Here, we report a case complaining of dysphagia who was determi-ned to have esophageal tuberculosis

Keywords:

Esophagus, tuberculosis,

PDF

___

Bericht zur Epidemiologie der Tuberkulose in Deutschland für 2007. Robert-Koch-Institut. www.rki.de.
Horsburgh CR Jr and Nelson AM. Mycobacterial Disease of the Gastro- intestinal Tract. In: Infections of the Gastrointestinal Tract. (Eds.Blaser MJ, Smith PD, Ravdin JI, Greenberg HB, Gurrant RL) Raven Press, New York, 1995;937-55.
Bhansali SK. Abdominal tuberculosis. Am J Gastroenterol 1977;67:324- 37.
Mokoena T, Shama DM, Ngakane H, Bryer JV. Esophageal tuberculosis: a review of eleven cases. Postgrad Med J 1992;68:110-5.
Mungan Z. Intestinal tüberküloz. Medikal & Teknik. 1995;105:9-11.
Sarıtaş Ü, Sarıçam T, Müftüoğlu V, ve ark. Abdominal tüberkülozis. Tür- kiye Klinikleri Gastroenterohepatoloji Dergisi 1990;2:89-92.
AI Karawi MA, Mohamed AE, Yasawy MI, et al. Protean manifestation of gastrointestinal tuberculosis: report on 130 patients. J Clin Gastroente- rol 1995;20:225-32.
Rosario MT, Raso CL, Comer GM. Esophageal tuberculosis. Dig Dis Sci 1989;34:1281-4.
Lockard LB. Oesophageal tuberculosis: a critical review. Laryngoscope 1913;23:561-84.
Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993;88:989-99.
Kim KM, Lee A, Choi KY, Lee KY, et al. Intestinal tuberculosis: Clinico- pathologic analysis and diagnosis by endoscopic biopsy. Am J Gastroen- terol 1998;93:606-9.
Anand BS, Schneider FE, El-Zaatari FA, et al. Diagnosis of intestinal tu- berculosis by polymerase chain reaction on endoscopic biopsy speci- mens. Am J Gastroenterol 1994;89:2248-9.
Gupta SP, Arora A, Bhrgava DK. An unusual presentation of esophageal tuberculosis. Tuberc Lung Dis 1992;73:174-6.
Sinha SN, Tesar P, Seta W, Sengupta SK. Primary esophageal tuberculo- sis. Br J Clin Pract 1988;42:391-4.
Özofagus tüberkülozu