Letter to the Editor

Coexistence of a Tuberculous Bronchoesophageal Fistula and Intracranial Tuberculosis in an Immunocompetent Patient

Authors: Hsin-Hui Chiu, MD, Joe Hergens Li, MD, Jackson Ching-Tzer Lin, MD, PhD, Yao-Wen Liu, MD, Yeun Tarl Fresner Ng Jao, MD

Abstract

To the Editor:


Extrapulmonary involvement of tuberculosis increases with the rise of the incidence of immunocompromised host, especially in acquired immunodeficiency syndrome, and it can occur even in immunocompetent patients.1 We report an immunocompetent case with coexistence of a tuberculous bronchoesophageal fistula and intracranial tuberculosis, successfully managed by antituberculous chemotherapy alone.

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References

1. Louie E, Rice LB, Holzman RS. Tuberculosis in non-Haitian patients with acquired immunodeficiency syndrome. Chest 1986;90:542–545.
 
2. Risher WH, Arensman RM, Ochsner JL. Congenital bronchoesophageal fistula. Ann Thorac Surg 1990;49:500–505.
 
3. Mellins RB. Acquired fistula between the esophagus and the respiratory tract; report of a case, review of the literature and discussion of the pathogenesis. N Engl J Med 1952;246: 896–901.
 
4. Asnis DS, Saltzman HP, Giron JA. Bronchoesophageal fistula due to multidrug-resistant tuberculosis in a patient infected with human immunodeficiency virus. Clin Infect Dis 1995;21:1061–1062.Letters to the Editor