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Glandeltuberkulose som årsag til dysfagi
Engelsk titel: Glandular tuberculosis as the cause of dysphagia Läs online Författare: Westergaard-Nielsen, Marie ; Hammelsvang Pedersen, Birthe Språk: Dan Antal referenser: 4 Dokumenttyp: Fallbeskrivning UI-nummer: 12127655

Tidskrift

Ugeskrift for Laeger 2012;174(44)2717-8 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Tuberculosis without pulmonal manifestation is uncommon, but must still be considered as differential diagnosis of lymphadenopathy. We present a case where the main symptom was dysphagia caused by a traction diverticulum due to glandular tuberculosis, which involved the lymph nodes in the neck. Based on the results of a magnetic resonance scanning and a computed tomography the primary diagnosis was a malignant oesophageal tumour, but a polymerase chain reaction on needle-aspirated pus from a lymph node revealed a Mycobacterium tuberculosis complex. No malignant cells were found in an oesophageal biopsy. After anti-tuberculous treatment, the dysphagia resolved completely.