Oesophageal and Oral Ulcer Tuberculous Associated with Human T-cell Lymphotropic Virus Type 1 (HTLV-1) and SARS-COV-2 Infection

Montalvo R.; Vilcapoma P.; Pomazongo M.; Mathey C.; Montalvo M. · Journal of Communicable Diseases (2023) · DOI: 10.24321/0019.5138.202312

Resumen

Oesophageal involvement due to tuberculosis (TB) and coinfection with HTLV-1 is rare and can be complicated by the presence of other infections that affect the mucosa of the upper respiratory tract, such as COVID-19. We present the case of a 27-year-old male patient, with 3 months of illness, weight loss, dysphagia, and ulcers in the oral cavity. Tomography showed oesophageal perforation and after oesophageal ulcer biopsy, TB was diagnosed, in addition to infection by HTLV-1 and severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). The patient responded satisfactorily to antituberculous treatment and corticosteroids. Considering the association between rare extrapulmonary tuberculosis and other immunosuppressive pathologies, it is crucial to identify these pathologies in such patients.

Instituciones: Universidad Nacional Daniel Alcides Carrión; Universidad Continental; Universidad Peruana Los Andes; Universidad Nacional del Centro del Perú