Revista Peruana de Medicina Experimental y Salud Pública
Print version ISSN 1726-4634
MONTOYA, Manuel et al. Oral blastomycosis, laryngeal papillomatosis and esophageal tuberculosis. Rev Peru Med Exp Salud Publica [online]. 2012, vol.29, n.2, pp. 250-254. ISSN 1726-4634. http://dx.doi.org/10.1590/S1726-46342012000200014.
Esophageal involvement is an extremely rare complication of tuberculosis even in countries with high prevalence of infection. We report the case of a 57 year-old hiv-seronegative patient with simultaneous diagnoses of oral blastomycosis and laryngeal papillomatosis. Both were confirmed by anatomopathological analysis. The esophageal biopsy revealed granulomatous esophagitis with necrosis and ziehl-neelsen stain showed acid-fast alcohol resistant bacilli suggestive of tuberculosis. The patient’s history included pulmonary tuberculosis twice and previous abandonment of therapy. Thus, it was necessary to use oral itraconazole combined with second-line anti-tuberculosis drugs administered through a gastrostomy tube. The clinical development was favorable.
Keywords : Blastomycosis; Tuberculosis; Esophageal diseases; Papilloma; Mycoses.