Abstract
Esophageal anthracosis with tuberculous lymphadenitis is a very rare disease. Almost all reported cases are diagnosed using multiple endoscopic biopsies or thoracic esophagectomy. The present case report describes a case of esophageal anthracosis with tuberculous lymphadenitis that was diagnosed using transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) alone. After taking antituberculosis drugs, the patient's chest pain was relieved and she recovered. The patient achieved an excellent outcome following the use of less invasive methods than mediastinoscopy. If no esophageal anthracotic lesions are found on the mucous membrane layer of the esophagus, transesophageal endoscopic ultrasound-guided fine-needle aspiration is a suitable approach for diagnosing esophageal anthracosis.
MeSH terms
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Aged
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Anthracosis / diagnosis*
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Anthracosis / diagnostic imaging
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Anthracosis / drug therapy
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Anthracosis / pathology
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Antitubercular Agents / therapeutic use*
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Chest Pain / drug therapy
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Chest Pain / etiology
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Chest Pain / pathology*
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Drug Therapy, Combination
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Endoscopic Ultrasound-Guided Fine Needle Aspiration*
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Esophagus / diagnostic imaging
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Esophagus / pathology*
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Ethambutol / administration & dosage
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Female
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Humans
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Isoniazid / administration & dosage
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Mycobacterium tuberculosis / isolation & purification
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Pyrazinamide / administration & dosage
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Rifampin / administration & dosage
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Treatment Outcome
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Tuberculosis, Lymph Node / diagnosis*
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Tuberculosis, Lymph Node / diagnostic imaging
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Tuberculosis, Lymph Node / drug therapy
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Tuberculosis, Lymph Node / pathology
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Weight Loss
Substances
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Antitubercular Agents
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Pyrazinamide
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Ethambutol
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Isoniazid
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Rifampin