Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer

Disseminated tuberculosis (TB) can mimic metastatic disease because of its multi-organ involvement (including bones), which can make the diagnosis much more complicated. Tracheoesophageal fistula is a very uncommon manifestation of TB, as is multifocal skeletal TB. There are reports of TB presenting...

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Main Authors: Hariharan Subramony, Manjunatha Gajanana Hegde, Balagurunathan Raghavan
Format: Article
Language:English
Published: SMC MEDIA SRL 2022-10-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3624
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author Hariharan Subramony
Manjunatha Gajanana Hegde
Balagurunathan Raghavan
author_facet Hariharan Subramony
Manjunatha Gajanana Hegde
Balagurunathan Raghavan
author_sort Hariharan Subramony
collection DOAJ
description Disseminated tuberculosis (TB) can mimic metastatic disease because of its multi-organ involvement (including bones), which can make the diagnosis much more complicated. Tracheoesophageal fistula is a very uncommon manifestation of TB, as is multifocal skeletal TB. There are reports of TB presenting either as multifocal skeletal TB or as tracheoesophageal fistulae, but we could not find any case reports describing both of these entities in a single patient and essentially mimicking a metastatic oesophageal neoplasm. However, we here describe one such case, which was managed medically.
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spelling doaj.art-2186fbc431934eb4a2aafa21dcd3f48d2022-12-22T04:37:59ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942022-10-0110.12890/2022_0036243159Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic CancerHariharan Subramony0Manjunatha Gajanana Hegde1https://orcid.org/0000-0002-2314-0626Balagurunathan Raghavan2Department of Internal Medicine, Apollo Hospitals, Greams Road, Chennai, Tamil Nadu, IndiaDepartment of Internal Medicine, Apollo Hospitals, Greams Road, Chennai, Tamil Nadu, IndiaApollo Hospitals, ChennaiDisseminated tuberculosis (TB) can mimic metastatic disease because of its multi-organ involvement (including bones), which can make the diagnosis much more complicated. Tracheoesophageal fistula is a very uncommon manifestation of TB, as is multifocal skeletal TB. There are reports of TB presenting either as multifocal skeletal TB or as tracheoesophageal fistulae, but we could not find any case reports describing both of these entities in a single patient and essentially mimicking a metastatic oesophageal neoplasm. However, we here describe one such case, which was managed medically.https://www.ejcrim.com/index.php/EJCRIM/article/view/3624tuberculosistracheoesophageal fistulamultifocal skeletal lesionsovarian neoplasmanti-tubercular therapy tropical diseases
spellingShingle Hariharan Subramony
Manjunatha Gajanana Hegde
Balagurunathan Raghavan
Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
European Journal of Case Reports in Internal Medicine
tuberculosis
tracheoesophageal fistula
multifocal skeletal lesions
ovarian neoplasm
anti-tubercular therapy
tropical diseases
title Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
title_full Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
title_fullStr Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
title_full_unstemmed Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
title_short Tuberculosis, A Great Masquerader: A Case Report of Disseminated Multifocal Skeletal TB and Tracheoesophageal Fistulae Mimicking Metastatic Cancer
title_sort tuberculosis a great masquerader a case report of disseminated multifocal skeletal tb and tracheoesophageal fistulae mimicking metastatic cancer
topic tuberculosis
tracheoesophageal fistula
multifocal skeletal lesions
ovarian neoplasm
anti-tubercular therapy
tropical diseases
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3624
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AT manjunathagajananahegde tuberculosisagreatmasqueraderacasereportofdisseminatedmultifocalskeletaltbandtracheoesophagealfistulaemimickingmetastaticcancer
AT balagurunathanraghavan tuberculosisagreatmasqueraderacasereportofdisseminatedmultifocalskeletaltbandtracheoesophagealfistulaemimickingmetastaticcancer