%0 Journal Article
%T Blastomicosis oral, papilomatosis lar赤ngea y tuberculosis esof芍gica Oral blastomycosis, laryngeal papillomatosis and esophageal tuberculosis
%A Manuel Montoya
%A Robert Chumbiraico
%A Melvin Ricalde
%A Ernesto Cazorla
%J Revista Peruana de Medicina Experimental y Salud P迆blica
%D 2012
%I Instituto Nacional de Salud
%X El compromiso esof芍gico es una complicaci車n infrecuente de la tuberculosis incluso en pa赤ses con alta prevalencia de infecci車n. Se presenta el caso de un paciente de 57 a os no seropositivo al virus de inmunodeficiencia humana (VIH), con diagn車stico simult芍neo de blastomicosis en cavidad oral y papilomatosis lar赤ngea, ambas confirmadas por anatom赤a patol車gica. La biopsia de es車fago revel車 esofagitis granulomatosa con necrosis; la tinci車n de Ziehl-Neelsen mostr車 bacilos 芍cido-alcohol resistente, sugerentes de tuberculosis. El antecedente de tuberculosis pulmonar en dos oportunidades y abandono de tratamiento determin車 el inicio de tratamiento antituberculoso de segunda l赤nea a trav谷s de un tubo de gastrostom赤a, m芍s itraconazol v赤a oral. La evoluci車n fue favorable. 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.
%K Blastomicosis
%K Tuberculosis
%K Esofagopat赤as
%K Papiloma
%K Micosis
%K Blastomycosis
%K Tuberculosis
%K Esophageal diseases
%K Papilloma
%K Mycoses
%U http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1726-46342012000200014