T�berk�loza Sekonder Trakeo�zefageal Fist�l: Olgu Sunumu

G��sav, Mutlu Onur; Gayaf, Mine; Aksel, Nimet; Ceylan, Kenan Can; Alizoro�lu, Dursun

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T�berk�loza Sekonder Trakeo�zefageal Fist�l: Olgu Sunumu [Respir Case Rep]

Respir Case Rep. 2019; 8(2): 49-53 | DOI: 10.5505/respircase.2019.96658

T�berk�loza Sekonder Trakeo�zefageal Fist�l: Olgu Sunumu

Mutlu Onur G��sav¹, Mine Gayaf¹, Nimet Aksel¹, Kenan Can Ceylan², Dursun Alizoro�lu¹
¹Sa�l�k Bilimleri �niversitesi Dr. Suat Seren G��s Hastal�klar� ve Cerrahisi E�itim Ara�t�rma Hastanesi, G��s Hastal�klar� Klini�i, �zmir
²Sa�l�k Bilimleri �niversitesi Dr. Suat Seren G��s Hastal�klar� ve Cerrahisi E�itim Ara�t�rma Hastanesi, G��s Cerrahisi Klini�i, �zmir

Trakea�zofageal fist�l (T�F) trakea ile �zefagus aras�nda patolojik bir ba�lant� olmas�d�r. Enfeksiyon hastal�klar�na sekonder geli�en T�F �ok nadir nedenlerdendir. T�berk�loz enfeksiyonu ise enfeksiy�z nedenler aras�nda en s�k izlenenidir. Gastroenteroloji servisinde �zefagus malignitesi �n tan�s� ile tetkik edilen ve endoskopik biyopsi sonucu beklenen 78 ya��nda erkek hasta nefes darl��, s�v� g�da ald�ktan sonra olan �ks�r�k yak�nmas� olmas� �zerine yap�lan tetkiklerde aspirasyon pn�monisi tan�s� ald� ve g��s hastal�klar� servisine nakil al�nd�. Bronkoskopisi yap�ld�. T�F a�z� g�r�ld�. Bron� aspirasyonunda mycobacterium tuberculosis DNA�s� saptand�. Endoskopik biyopsi sonucu gran�lamat�z reaksiyon olarak geldi. Hastaya t�berk�loz nedenli T�F tan�s� konuldu. Anti-t�berk�loz tedavisi ba�lanan hastaya trakeal Y stent tak�ld�. Makalemizi t�berk�lozun nadir g�r�len bir T�F nedeni olmas� ve nedeni bilinmeyen T�F��n operasyonu �ncesinde t�berk�loz bula��na y�nelik gerekli �nlemlerin al�nmas�n�n �nemini vurgulamak amac�yla sunuyoruz.

Anahtar Kelimeler: Aspirasyon pn�monisi, trakeo�zefageal fist�l, t�berk�loz, trakeal stent

Tracheoesophageal Fistula Secondary to Tuberculosis: A Case Report

Mutlu Onur G��sav¹, Mine Gayaf¹, Nimet Aksel¹, Kenan Can Ceylan², Dursun Alizoro�lu¹
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

Sorumlu Yazar: Mutlu Onur G��sav, T�rkiye
Makale Dili: �ngilizce

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