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International Journal of Clinical & Medical Images

2376-0249

Clinical-Medical Image - International Journal of Clinical & Medical Images (2022) Volume 9, Issue 7

A Case Report on Multifocal Esophageal and Meningitis Tuberculosis - A Rare Entity

A Case Report on Multifocal Esophageal and Meningitis Tuberculosis - A Rare Entity

Author(s): EL Moufid H1*, Kissi K1, Jannati S2 and Bennani M1

1Department of Hepato-gastroenterology, Cheikh Zayd University Hospital, Rabat, Morocco

2Department of Radiotherapy, Cheikh Zayd University Hospital, Rabat, Morocco

*Corresponding Author:
EL Moufid H
Department of Hepato-gastroenterology
Cheikh Zayd University Hospital
Rabat, Morocco
Tel: +00212653820465
E-mail: [email protected]; [email protected]

Received: 30 June 2022, Manuscript No. ijcmi-22-68041; Editor assigned: 01 July 2022, Pre QC No. P-68041; Reviewed: 14 July 2022, QC No. Q-68041; Revised: 18 July 2022, Manuscript No. R-68041; Published: 25 July 2022, DOI: 10.4172/2376-0249.1000836

Citation: EL Moufid H, Kissi K, Jannati S and Bennani M. (2022) A Case Report on Multifocal Esophageal and Meningitis Tuberculosis - A Rare Entity. Int J Clin Med Imaging 9:836.

Copyright: © 2022 EL Moufid H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Clinical-Medical Image

Introduction

Tuberculosis disease can affect any organ of the body, Multifocal tuberculosis involving multiple systems with associated symptoms are rare, which makes the diagnosis challenging. We report a case of tuberculosis esophageal ulcer mimicking carcinoma with neurological symptoms considered initially like neurological metastasis.

Case Report

We report the case of a 72-year-old immunocompetent Moroccan Woman, presented to our department with 2 months history of dysphagia and prostration. Diagnostic evaluation by upper gastrointestinal endoscopy revealed a carcinoma-suspect ulcerative lesion at the middle esophagus (Figures 1 and 2). Initial histopathological evaluation of multiple esophageal tissue biopsies showed an unspecific esophagitis without signs for malignancy.

A pet-scan showed hyper metabolism of the middle third of the esophagus and a right supra-clavicular para-ganglionic tumour mass as well as a cerebellar mass. This aspect suggests esophagus carcinoma with cerebellar metastasis, new esophageal and lymph node biopsies have been scheduled.

The patient had subsequently worsened neurologically, with the appearance of consciousness disorders with Glasgow coma scale score at 10. A brain MRI showed numerous subacute capsulothalamic and right mesencephalic ischemic foci. A lumbar puncture was then performed and found hyperproteinorachy, a (PCR) test of the cerebrospinal fluid (CSF) was positive for the Mycobacterium tuberculosis. The final diagnosis was multifocal tuberculosis, the patients received Anti-tuberculosis drugs. The dysphagia and neurological disorders of the patient recovered following the therapy with 3 months of hindsight [1-4].

Conclusion

Multifocal tuberculosis should also be taken into consideration when lesions metastatic from system malignancy were suspected, it should always be suspected especially in countries where TB is endemic. A combination of multiple diagnosis methods was essential for the diagnosis of multifocal disease.

Keywords

Esophageal Tuberculosis

References

  1. Chamberlin K, Orfanos S, Mukherjee A, Moy E, Koganti M, et al. (2018) A case of disseminated tuberculosis mimicking metastatic cancer. Respir Med Case Rep 25:239-241.
  2. Google Scholar, Crossref, Indexed at

  3. Wang C, Luan Y, Liu S, Zhao M, Zhang, H, et al. (2020) Multifocal tuberculosis simulating a cancer-a case report. BMC Infect Dis 20:1-6.
  4. Google Scholar, Crossref

  5. World Health Organization. Global tuberculosis report. (2018). Geneva. World Health Organization
  6. WGO Global Guidelines. (2021) Digestive tract tuberculosis
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Citations : 226

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