An interesting case of dysphagia in a HIV patient

Deepak Madi, Basavaprabhu Achappa, John T. Ramapuram, Nithyananda Chowta, Soundarya Mahalingam

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Oesophageal tuberculosis is a rare disease. Tuberculosis (TB) can cause dysphagia due to oesophageal ulcers, Tracheo-Oesophageal Fistulas (TOFs) and an extrinsic compression which is caused by the mediastinal lymph nodes. A 33-year-old gentleman was admitted to our hospital for the evaluation of fever, dysphagia and cough. His chest X-ray was suggestive of miliary tuberculosis. A CT scan of his chest revealed military tuberculosis, mediastinal lymphadenopathy and pneumomediastinum. His sputum AFB (acid-fast bacilli) test was positive. An upper gastrointestinal endoscopy revealed a large ulcer in the oesophagus with a fistulous opening which was suggestive of a tracheo-oesophageal fistula. A biopsy from the ulcer was positive for AFB. The test for HIV-1 was positive. A nasogastric feeding tube was placed and the Anti Tubercular Therapy (ATT) was started. The main aim of this case report is to sensitize the clinicians about the fact that Tuberculosis can present with dysphagia, especially in HIV patients.

Original languageEnglish
Pages (from-to)534-536
Number of pages3
JournalJournal of Clinical and Diagnostic Research
Issue number3
Publication statusPublished - 2013

All Science Journal Classification (ASJC) codes

  • General Medicine
  • Clinical Biochemistry


Dive into the research topics of 'An interesting case of dysphagia in a HIV patient'. Together they form a unique fingerprint.

Cite this