Oral blastomycosis, laryngeal papillomatosis and esophageal tuberculosis

Authors

  • Manuel Montoya Hospital Regional del Cusco. Cusco, Perú. Universidad Nacional de San Antonio Abad del Cusco. Cusco, Perú. Médico infectólogo.
  • Robert Chumbiraico Hospital Regional del Cusco. Cusco, Perú. Universidad Nacional de San Antonio Abad del Cusco. Cusco, Perú. médico internista.
  • Melvin Ricalde Hospital Regional del Cusco. Cusco, Perú. Universidad Nacional de San Antonio Abad del Cusco. Cusco, Perú. médico neumólogo.
  • Ernesto Cazorla Hospital Regional del Cusco. Cusco, Perú. Universidad Nacional de San Antonio Abad del Cusco. Cusco, Perú. médico gastroenterólogo.
  • Gustavo Hernández-Córdova Universidad Nacional de San Antonio Abad del Cusco. Cusco, Perú. Sociedad Científica de Estudiantes de Medicina ASOCIEMH-CUSCO. Cusco, Perú. estudiante de Medicina.

DOI:

https://doi.org/10.17843/rpmesp.2012.292.350

Keywords:

Blastomycosis, Tuberculosis, Esophageal diseases, Papilloma, Mycoses

Abstract

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.

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Published

2014-01-31

Issue

Section

Case Report

How to Cite

1.
Montoya M, Chumbiraico R, Ricalde M, Cazorla E, Hernández-Córdova G. Oral blastomycosis, laryngeal papillomatosis and esophageal tuberculosis. Rev Peru Med Exp Salud Publica [Internet]. 2014 Jan. 31 [cited 2024 Jun. 19];29(2). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/350