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Ann Thorac Surg 1990;50:647-649
© 1990 The Society of Thoracic Surgeons

Articles

Esophagobronchial fistula and mediastinal tuberculosis

Ganesh Raghu, MD*, David Dillard, MD

Departments of Medicine and Surgery, University of Washington School of Medicine, Seattle, Washington USA

Accepted for publication April 2, 1990.

* Address reprint requests to Dr Raghu, Division of Pulmonary and Critical Care Medicine, RM-12, University of Washington, Seattle, WA 98195.

59-year-old man was seen with what preoperatively was thought to be an acquired esophagobronchial fistula secondary to an old burned-out infection with tuberculosis. At operation the gross and microscopic findings were most compatible with a congenital H-shaped esophagobronchial fistula. However, cultures of calcified lymph nodes grew Mycobacterium tuberculosis. The need for culturing calcified tissue to assure proper treatment is emphasized.




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