Skip to main content

Advertisement

SpringerLink
Log in

Tuberculous Bronchoesophageal Fistula in Nephrotic Syndrome: A Silent Assassin

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Tuberculosis, a global public health concern, is emerging as an important complication in children with nephrotic syndrome. We report a case of an adolescent with nephrotic syndrome who developed fatal miliary tuberculosis after initiation of steroid therapy, presenting as a bronchoesophageal fistula. The case highlights the importance of maintaining a high index of suspicion prior to starting immunosuppressive therapy in pediatric patients of nephrotic syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Gulati S, Kher V, Gulati K, Arora P, Gujral R (1997) Tuberculosis in childhood nephrotic syndrome in India. Pediatr Nephrol 11(6):695–698

    Article  CAS  Google Scholar 

  2. Kala U, Milner LS, Jacobs D, Thomson PD (1993) Impact of tuberculosis in children with idiopathic nephrotic syndrome. Pediatr Nephrol 7(4):392–395

    Article  CAS  Google Scholar 

  3. Changal KH, Raina AH, Parra R, Khan MA (2013) Esophageal tuberculosis; A rare cause of odynophagia: a case report. Egypt J Chest Dis Tuberc 62(2):349–351

    Article  Google Scholar 

  4. TBC India. TB India 2014 Revised National Tuberculosis Control Programme Annual Status Report. TBC India. http://www.tbcindia.nic.in/pdfs/TB%20INDIA%202014.pdf. Published March 2014. Accessed 30 June 2015

  5. Marais BJ (2011) Childhood tuberculosis: epidemiology and natural history of disease. Indian J Pediatr 78:321–327

    Article  Google Scholar 

  6. Gie RP, Kling S, Schaaf HS, Beyers N, Moore S, Schneider J (1998) Tuberculous broncho-esophageal fistula in children: a description of two cases. Pediatr Pulmonol 25(4):285–288

    Article  CAS  Google Scholar 

  7. Bhatia R, Mitra DK, Mukkerjee S, Berry M (1992) Bronchoesophageal fistula of tuberculosis origin in a child. Pediatr Radiol 22(2):154

    Article  CAS  Google Scholar 

  8. Danino EA, Evans CJ, Thomas JH (1995) Tuberculous bronchoesophageal fistula in a child. Thorax 10:351–353

    Article  Google Scholar 

  9. Lucaya J, Sole S, Badosa J, Manzanares R (1980) Bronchial perforation and bronchoesophageal fistulas: tuberculous in origin. AJR Am J Roentgenol 135(3):525–528

    Article  CAS  Google Scholar 

  10. Erlank A, Goussard P, Andronikou S, Gie R, Sidler D, Ackermann C et al (2007) Oesophageal perforation as a complication of primary pulmonary tuberculous lymphadenopathy in children. Pediatr Radiol 37:636–639

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology - Head and Neck Surgery, Maulana Azad Medical College and Associated Loknayak, G.N.E.C. and G.B. Pant Hospitals, New Delhi, India

    Kanika Rana, Eishaan Kamta Bhargava, Vasun Batra, Nikhil Arora & Ravi Meher

Authors
  1. Kanika Rana
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eishaan Kamta Bhargava
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vasun Batra
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nikhil Arora
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ravi Meher
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Eishaan Kamta Bhargava.

Ethics declarations

Conflict of interest

The authors have no conflict of interest to disclose.

Ethical Approval

This study was in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments. For this type of study formal consent is not required.

Informed Consent

As the patient had expired, informed consent was taken from the patient’s parents for inclusion in the above case study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rana, K., Bhargava, E.K., Batra, V. et al. Tuberculous Bronchoesophageal Fistula in Nephrotic Syndrome: A Silent Assassin. Indian J Otolaryngol Head Neck Surg 71 (Suppl 1), 104–106 (2019). https://doi.org/10.1007/s12070-017-1130-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-017-1130-5

Keywords

Search

Navigation