Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic
Acquired tracheoesophageal fistula (TOF) is a rare entity. We present a case of a 49-year male, non-smoker, with no known comorbidities admitted with acute respiratory symptoms and desaturation to a COVID hospital during the first peak of the pandemic. Initial workup showed all raised inflammatory m...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Orthopaedics and Spine |
| Subjects: | |
| Online Access: | http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=44;epage=48;aulast=Anokar |
| _version_ | 1798006649782272000 |
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| author | Anita T Anokar Samruddhi Dhanaji Chougale Medha Bargaje Ram B Deoskar Ashish Dhotre Amarnath Prasad Avani Rajput |
| author_facet | Anita T Anokar Samruddhi Dhanaji Chougale Medha Bargaje Ram B Deoskar Ashish Dhotre Amarnath Prasad Avani Rajput |
| author_sort | Anita T Anokar |
| collection | DOAJ |
| description | Acquired tracheoesophageal fistula (TOF) is a rare entity. We present a case of a 49-year male, non-smoker, with no known comorbidities admitted with acute respiratory symptoms and desaturation to a COVID hospital during the first peak of the pandemic. Initial workup showed all raised inflammatory markers, deranged liver function, and poor ejection fraction of 20%. COVID RT-PCR was negative. Early high-resolution computed tomography done as COVID suspect, peaked up the tracheoesophageal fistula with aspiration pneumonia. On magnetic resonance imaging spine, paradiscal, prevertebral involvement at the D1-D2 level suggesting Pott’s spine, with mediastinal irregular cavity formation, ruptured in trachea and esophagus. A detailed history revealed neck pain for 3 months and increased cough while swallowing for 10 days. Neck pain was not evaluated due to fear of COVID and lockdown. On esophagoscopy, anterior wall of the upper esophagus had fistula with smooth clear margins. Diagnosis of tubercular TOF confirmed on endotracheal inflamed fistulous track secretions. The patient was treated conservatively with initial nasogastric tube feeding and antitubercular treatment achieving complete resolution. |
| first_indexed | 2024-04-11T12:59:03Z |
| format | Article |
| id | doaj.art-1e5b0126ffbd49599ec7f5377976649f |
| institution | Directory Open Access Journal |
| issn | 2666-7150 |
| language | English |
| last_indexed | 2024-04-11T12:59:03Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopaedics and Spine |
| spelling | doaj.art-1e5b0126ffbd49599ec7f5377976649f2022-12-22T04:23:00ZengWolters Kluwer Medknow PublicationsJournal of Orthopaedics and Spine2666-71502022-01-01101444810.4103/JOASP.JOASP_18_22Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemicAnita T AnokarSamruddhi Dhanaji ChougaleMedha BargajeRam B DeoskarAshish DhotreAmarnath PrasadAvani RajputAcquired tracheoesophageal fistula (TOF) is a rare entity. We present a case of a 49-year male, non-smoker, with no known comorbidities admitted with acute respiratory symptoms and desaturation to a COVID hospital during the first peak of the pandemic. Initial workup showed all raised inflammatory markers, deranged liver function, and poor ejection fraction of 20%. COVID RT-PCR was negative. Early high-resolution computed tomography done as COVID suspect, peaked up the tracheoesophageal fistula with aspiration pneumonia. On magnetic resonance imaging spine, paradiscal, prevertebral involvement at the D1-D2 level suggesting Pott’s spine, with mediastinal irregular cavity formation, ruptured in trachea and esophagus. A detailed history revealed neck pain for 3 months and increased cough while swallowing for 10 days. Neck pain was not evaluated due to fear of COVID and lockdown. On esophagoscopy, anterior wall of the upper esophagus had fistula with smooth clear margins. Diagnosis of tubercular TOF confirmed on endotracheal inflamed fistulous track secretions. The patient was treated conservatively with initial nasogastric tube feeding and antitubercular treatment achieving complete resolution.http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=44;epage=48;aulast=Anokaracquired tracheoesophageal fistulamediastinal tb cavitationpott’s spine |
| spellingShingle | Anita T Anokar Samruddhi Dhanaji Chougale Medha Bargaje Ram B Deoskar Ashish Dhotre Amarnath Prasad Avani Rajput Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic Journal of Orthopaedics and Spine acquired tracheoesophageal fistula mediastinal tb cavitation pott’s spine |
| title | Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic |
| title_full | Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic |
| title_fullStr | Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic |
| title_full_unstemmed | Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic |
| title_short | Tracheoesophageal fistula in a case of Pott’s spine: Unusual presentation amid COVID pandemic |
| title_sort | tracheoesophageal fistula in a case of pott s spine unusual presentation amid covid pandemic |
| topic | acquired tracheoesophageal fistula mediastinal tb cavitation pott’s spine |
| url | http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=44;epage=48;aulast=Anokar |
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