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Tuberculous Lymphadenopathy Causing Dysphagia: Report of Two Cases

Vancouver General Hospital, University of British Columbia, St. Paul's Hospital AIDS Research Group Vancouver, Canada

For reprint information contact: Omer S Alamoudi, MRCP King Abdulaziz University Hospital Department of Medicine P.O. Box 6615 Jeddah 21452, Saudi Arabia Tel: 966 2 687 1195 Fax: 966 2 695 2538

We report two cases of tuberculous lymphadenopathy causing dysphagia. The first patient was HIV positive and the second patient had immigrated recently from India. Culture in both patients grew Mycobacterium tuberculosis that was fully sensitive to first line drugs. Dysphagia may result from intrinsic or extrinsic involvement of the esophagus. Extrinsic involvement is more common and results from cervical and mediastinal lymph node enlargement (as in these 2 cases) that causes external compression on the wall of the esophagus. The dysphagia subsided completely after 4 weeks of antituberculous therapy in both cases.