Letter to the Editor

Mediastinal Tuberculous Lymphadenopathy Presenting with Dysphagia

Authors: Naveen Bhatt, MD, Nidhi Bhatt, MD

Abstract

To the Editor:


Dysphasia is rarely a presenting feature of tuberculous, more often associated with direct esophageal involvement.1,2 Very few cases of tuberculosis mediastinal lymphadenopathy causing dysphasia have been reported from the Asian subcontinent and even fewer from the West. We came across a similar case, interesting not only from the geographical aspect but also in presentation.

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References

1. Park SH, Chung JP, Kim IJ, et al. Dysphasia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor: a case report. Yonsei Med J 1995;36:386–391.
 
2. Sood R, Gupta R. Tuberculous mediastinal adenopathy presenting as dysphagia. J Assoc Physicians India 2000;48:1135–1136.
 
3. Ghimire MP, Walker RJ. Painful dysphagia in a case of mediastinal tuberculous lymphadenopathy. Postgrad Med J 1985;61:427–428.
 
4. Mert A, Ozaras R, Tabak F, et al. Primary tuberculosis cases presenting with erythema nodosum. J Dermatol 2004;31:66–68.
 
5. Holgate ST. A Frew: Respiratory disease. Clinical Medicine. Kumar P, Clark M. (eds). Philadelphia, WB Saunders Co, 5th ed. 2002, p 899.