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Tberkloza Sekonder Trakeozefageal Fistl: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2019; 8(2): 49-53 | DOI: 10.5505/respircase.2019.96658

Tberkloza Sekonder Trakeozefageal Fistl: Olgu Sunumu

Mutlu Onur Gsav1, Mine Gayaf1, Nimet Aksel1, Kenan Can Ceylan2, Dursun Alizorolu1
1Salk Bilimleri niversitesi Dr. Suat Seren Gs Hastalklar ve Cerrahisi Eitim Aratrma Hastanesi, Gs Hastalklar Klinii, zmir
2Salk Bilimleri niversitesi Dr. Suat Seren Gs Hastalklar ve Cerrahisi Eitim Aratrma Hastanesi, Gs Cerrahisi Klinii, zmir

Trakeazofageal fistl (TF) trakea ile zefagus arasnda patolojik bir balant olmasdr. Enfeksiyon hastalklarna sekonder gelien TF ok nadir nedenlerdendir. Tberkloz enfeksiyonu ise enfeksiyz nedenler arasnda en sk izlenenidir. Gastroenteroloji servisinde zefagus malignitesi n tans ile tetkik edilen ve endoskopik biyopsi sonucu beklenen 78 yanda erkek hasta nefes darl, sv gda aldktan sonra olan ksrk yaknmas olmas zerine yaplan tetkiklerde aspirasyon pnmonisi tans ald ve gs hastalklar servisine nakil alnd. Bronkoskopisi yapld. TF az grld. Bron aspirasyonunda mycobacterium tuberculosis DNAs saptand. Endoskopik biyopsi sonucu granlamatz reaksiyon olarak geldi. Hastaya tberkloz nedenli TF tans konuldu. Anti-tberkloz tedavisi balanan hastaya trakeal Y stent takld. Makalemizi tberklozun nadir grlen bir TF nedeni olmas ve nedeni bilinmeyen TFn operasyonu ncesinde tberkloz bulana ynelik gerekli nlemlerin alnmasnn nemini vurgulamak amacyla sunuyoruz.

Anahtar Kelimeler: Aspirasyon pnmonisi, trakeozefageal fistl, tberkloz, trakeal stent

Tracheoesophageal Fistula Secondary to Tuberculosis: A Case Report

Mutlu Onur Gsav1, Mine Gayaf1, Nimet Aksel1, Kenan Can Ceylan2, Dursun Alizorolu1
1Department of Chest Diseases, Health Sciences University Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, zmir, Turkey
2Department of Thoracic Surgery, Health Sciences University Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, zmir, Turkey

A tracheoesophageal fistula (TEF) is a pathological connection between the trachea and esophagus. Infectious diseases rarely lead to TEF, and tuberculosis is the most common cause of TEF among all infectious causes. A 78-year-old male patient under examination for esophageal malignancy at the gastroenterology service, and who was expected to undergo an endoscopic biopsy, was diagnosed with aspiration pneumonia after complaints of dyspnea and coughing after liquid intake, and was transferred to chest diseases clinic. TEF was identified from a bronchoscopy. Mycobacterium tuberculosis DNA was isolated during a bronchial aspiration. An endoscopic biopsy, performed after esophageal malignancy was suspected, gave the result of a granulomatous reaction. The patient was diagnosed with tuberculosis-induced TEF. Anti-tuberculosis treatment was initiated, and a tracheal Y stent was fitted. In this article we present a rare case in which a TEF emerged secondary to tuberculosis, and suggest that tuberculosis may be a cause of TEF. It is advised that before starting invasive surgical TEF treatment, it is essential to take the necessary precautions.

Keywords: Aspiration pneumonia, Trachea esophageal fistula, tuberculosis, tracheal stent

Mutlu Onur Gsav, Mine Gayaf, Nimet Aksel, Kenan Can Ceylan, Dursun Alizorolu. Tracheoesophageal Fistula Secondary to Tuberculosis: A Case Report. Respir Case Rep. 2019; 8(2): 49-53

Sorumlu Yazar: Mutlu Onur Gsav, Trkiye
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