CT manifestations of primary esophageal tuberculosis
Abstract Background Primary esophageal tuberculosis is an uncommon manifestation of Mycobacterium tuberculosis infection in Asian adults, often presenting with nonspecific symptoms that can complicate diagnosis. This report details a case of primary esophageal tuberculosis in middle age female, emph...
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| Format: | Article |
| Language: | English |
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BMC
2025-04-01
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| Series: | BMC Infectious Diseases |
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| Online Access: | https://doi.org/10.1186/s12879-025-10865-y |
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| author | Zhong Huang Shaoyong Zhang Ruikun Liao Zhi Wang |
| author_facet | Zhong Huang Shaoyong Zhang Ruikun Liao Zhi Wang |
| author_sort | Zhong Huang |
| collection | DOAJ |
| description | Abstract Background Primary esophageal tuberculosis is an uncommon manifestation of Mycobacterium tuberculosis infection in Asian adults, often presenting with nonspecific symptoms that can complicate diagnosis. This report details a case of primary esophageal tuberculosis in middle age female, emphasizing the diagnostic value of computed tomography (CT) imaging. Case presentation The patient, a 46-year-old female from Sichuan Province, China, experienced recurrent choking and mild retrosternal pain postprandially. She exhibited a weight loss of approximately 1 kg over a week, without additional symptoms such as dysphagia or fever. Esophagoscopy disclosed a small ulcer, and CT imaging revealed esophageal wall thickening with mucosal ulceration. A left thoracic lower and middle esophagectomy was conducted, with postoperative pathology confirming granulomatous inflammation, indicative of tuberculosis. Conclusions This case highlights the pivotal role of CT imaging in diagnosing primary esophageal tuberculosis. The imaging modality’s ability to delineate subtle mucosal ulcerations and wall thickening provides a crucial diagnostic advantage, facilitating accurate and timely diagnosis of this rare condition. |
| format | Article |
| id | doaj-art-a3ff908e78f94d89a568ced40f24a80e |
| institution | DOAJ |
| issn | 1471-2334 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj-art-a3ff908e78f94d89a568ced40f24a80e2025-08-20T03:06:54ZengBMCBMC Infectious Diseases1471-23342025-04-012511510.1186/s12879-025-10865-yCT manifestations of primary esophageal tuberculosisZhong Huang0Shaoyong Zhang1Ruikun Liao2Zhi Wang3Department of Radiology, Hospital of Traditional Chinese Medicine in Qijiang DistrictDepartment of Spleen and Stomach Diseases, Hospital of Traditional Chinese Medicine in Qijiang DistrictDepartment of Radiology, Shapingba Hospital affiliated to Chongqing University (Shapingba District People’s Hospital of Chongqing)Department of Gynecology, Hospital of Traditional Chinese Medicine in Qijiang DistrictAbstract Background Primary esophageal tuberculosis is an uncommon manifestation of Mycobacterium tuberculosis infection in Asian adults, often presenting with nonspecific symptoms that can complicate diagnosis. This report details a case of primary esophageal tuberculosis in middle age female, emphasizing the diagnostic value of computed tomography (CT) imaging. Case presentation The patient, a 46-year-old female from Sichuan Province, China, experienced recurrent choking and mild retrosternal pain postprandially. She exhibited a weight loss of approximately 1 kg over a week, without additional symptoms such as dysphagia or fever. Esophagoscopy disclosed a small ulcer, and CT imaging revealed esophageal wall thickening with mucosal ulceration. A left thoracic lower and middle esophagectomy was conducted, with postoperative pathology confirming granulomatous inflammation, indicative of tuberculosis. Conclusions This case highlights the pivotal role of CT imaging in diagnosing primary esophageal tuberculosis. The imaging modality’s ability to delineate subtle mucosal ulcerations and wall thickening provides a crucial diagnostic advantage, facilitating accurate and timely diagnosis of this rare condition.https://doi.org/10.1186/s12879-025-10865-yPrimary esophageal tuberculosisMucosal ulcerationCaseous necrosisComputed tomography |
| spellingShingle | Zhong Huang Shaoyong Zhang Ruikun Liao Zhi Wang CT manifestations of primary esophageal tuberculosis BMC Infectious Diseases Primary esophageal tuberculosis Mucosal ulceration Caseous necrosis Computed tomography |
| title | CT manifestations of primary esophageal tuberculosis |
| title_full | CT manifestations of primary esophageal tuberculosis |
| title_fullStr | CT manifestations of primary esophageal tuberculosis |
| title_full_unstemmed | CT manifestations of primary esophageal tuberculosis |
| title_short | CT manifestations of primary esophageal tuberculosis |
| title_sort | ct manifestations of primary esophageal tuberculosis |
| topic | Primary esophageal tuberculosis Mucosal ulceration Caseous necrosis Computed tomography |
| url | https://doi.org/10.1186/s12879-025-10865-y |
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