Oesophageal and Oral Ulcer Tuberculous Associated with Human T-cell Lymphotropic Virus Type 1 (HTLV-1) and SARS-COV-2 Infection

Q4 Medicine

Journal of Communicable Diseases Pub Date : 2023-05-04 DOI:10.24321/0019.5138.202312

R. Montalvo

引用次数: 0

Abstract

Oesophageal involvement due to tuberculosis (TB) and coinfection with HTLV-1 is rare and can be complicated by the presence of other infections that affect the mucosa of the upper respiratory tract, such as COVID-19. We present the case of a 27-year-old male patient, with 3 months of illness, weight loss, dysphagia, and ulcers in the oral cavity. Tomography showed oesophageal perforation and after oesophageal ulcer biopsy, TB was diagnosed, in addition to infection by HTLV-1 and severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). The patient responded satisfactorily to antituberculous treatment and corticosteroids. Considering the association between rare extrapulmonary tuberculosis and other immunosuppressive pathologies, it is crucial to identify these pathologies in such patients.

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食管和口腔溃疡结核性与人T细胞趋淋巴病毒1型（HTLV-1）和严重急性呼吸系统综合征冠状病毒2型感染相关

肺结核（TB）和HTLV-1合并感染引起的食管受累是罕见的，并且可能因其他影响上呼吸道粘膜的感染而变得复杂，如新冠肺炎。我们报告一例27岁男性患者，患病3个月，体重减轻，吞咽困难，口腔溃疡。断层扫描显示食道穿孔，食道溃疡活检后，除HTLV-1和严重急性呼吸综合征冠状病毒2型（严重急性呼吸系统综合征冠状病毒-2）感染外，还诊断为肺结核。患者对抗结核治疗和皮质类固醇治疗反应满意。考虑到罕见的肺外结核和其他免疫抑制性疾病之间的联系，在此类患者中识别这些疾病至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Communicable Diseases Medicine-Infectious Diseases

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Journal of Communicable Diseases (E-ISSN: 0019-5138 & P-ISSN: 2394-7047) is published by ADR Publications and is the official publication of Indian Society of Malaria and Other Communicable Diseases. Journal of Communicable Diseases covers scientific researches in the field of communicable diseases. Accept articles with scientific excellence in the form of (1) Original articles in basic and field research (2) Critical reviews, (3) surveys, (4) Case studies, (5) opinions/Correspondence/letters to editor, etc. The first issue of the publication entitled “Bulletin of the National Society of India for Malaria and Other Mosquito-Borne Diseases” the precursor of “Journal of Communicable Disease” (J Commun Dis) was brought out in 1953. The objects and purposes of J Commun Dis are: • to advance knowledge regarding the cause, prevalence, epidemiology, treatment, prevention and control of malaria and other-mosquito-borne diseases and other communicable diseases, • to stimulate scientific and practical interest among individuals and organizations in the prompt and effective application of treatment and control methods, • to integrate scientific and field activities and co-ordinate various scientific investigations, • to disseminate such knowledge both to scientists and to the general public.