Esophageal tuberculosis: an unusual localisation in an immunocompetent patient.

(Esophageal tuberculosis is a rare localisation for extrapulmonary tubercul osis. This report describes the case of a 30-year-old immunocompetent woman with dysphagia, fever and weight loss. Endoscopic examination revealed an ulcerated lesion in the third part of the oesophagus strongly suggesting op sophageal carcinoma. Histologic samples showed epitheloid cells granuloma i n the submucosa. Diagnosis was later confirmed by at-id-fast bacilli positi ve gastric aspirates and a positive MANTOUX test using the tuberculin react ion. Barium swallow revealed a narrowing in the third oesophagus. A chest x -ray revealed a infiltrated lesion and a mediastinal lymph node. The patien t was put on antitubercular treatment. On follow-lip after 3 months, dyspha gia, fever weight loss had disappeared and the ulcerated lesion of oesophag us had improved. The subsequent course of the patient is not known, since s he was lost to follow-up.