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The Annals of Thoracic Surgery, Vol 50, 647-649, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Esophagobronchial fistula and mediastinal tuberculosis

G Raghu and D Dillard
Department of Medicine, University of Washington School of Medicine, Seattle.

A 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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