An unusual case of esophageal tuberculosis in an adult

Tuberculous infection of the esophagus is a rare disease and usually occurs secondary to tuberculous mediastinal lymphadenopathy, We report a 74-year- old woman presenting with dysphagia and weight loss, The chest radiograph s howed punctuated calcifications lining from the right hilar region to the p aracardiac region. Upper gastrointestinal endoscopy revealed a 0.5 x 5cm le sion localized in the 25th cm of the esophagus covered partly with normal m ucosa, partly demonstrating ulcerous areas, Biopsy revealed granulomatous i nfiltrates being tuberculoid in type, Thorax CT showed a calcified lymph no de at the right hilum, The patient did not give consent to therapy and died 1 month later.