CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2021; 11(01): 54-56
DOI: 10.1055/s-0040-1721541
Case Report

Achalasia Cardia: A Mimicker of Pulmonary Tuberculosis in a High-Burden Setting

Pratibha Sharma
1   Department of Microbiology, All India Institute of Medical Sciences Raipur, Raipur, Chhattisgarh, India
,
2   Department of Pulmonary Medicine, All India Institute of Medical Sciences Raipur, Raipur, Chhattisgarh, India
› Author Affiliations

Abstract

BRICS (Brazil, Russia, India, China, and South Africa) countries account for more than two-thirds of the global tuberculosis burden. Tuberculosis is a common diagnosis in patients presenting with chronic respiratory symptoms in these high-burden countries, which results in other diseases being missed easily. The national tuberculosis elimination program encourages to start antitubercular treatment on a clinical basis even without any confirmatory evidence. This has resulted in missing many nontuberculosis cases and unnecessarily exposing to adverse effects of antitubercular drugs. Here we report one such instance where achalasia cardia was missed for a long time.



Publication History

Article published online:
02 December 2020

© 2020. Nitte University (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Fulcher AS, Proto AV, Jolles H. Cystic teratoma of the mediastinum: demonstration of fat/fluid level. Am J Roentgenol 1990; 154 (02) 259-260
  • 2 Choi JE, Lim S, Park CR, Cha HJ, Kwon W-J. Foregut duplication cyst: a novel computed tomography finding mimicking a small bowel hernia: a case report. Medicine (Baltimore) 2017; 96 (50) e9184
  • 3 Mathew M, Narula MK, Anand R. Pancreatic pseudocyst of the mediastinum. Indian J Radiol Imaging 2002; 12 (03) 353-354
  • 4 Ahmad M, Dakshinamurty KV. Emphysematous renal tract disease due to Aspergillus fumigatus. J Assoc Physicians India 2004; 52: 495-497
  • 5 Fraser RS, Muller NL, Coleman N. PPD. Diagnosis of Diseases of the Chest. 4th edition. Philadelphia: WB Saunders and Co.; 1999: 2966-2967
  • 6 Vaezi MF, Richter JE. American College of Gastroenterology Practice Parameter Committee. Diagnosis and management of achalasia. Am J Gastroenterol 1999; 94 (12) 3406-3412
  • 7 Vaezi MF, Pandolfino JE, Vela MF. ACG clinical guideline: diagnosis and management of achalasia. Am J Gastroenterol 2013; 108 (08) 1238-1249, quiz 1250
  • 8 Bredenoord AJ, Fox M, Kahrilas PJ, Pandolfino JE, Schwizer W, Smout AJ. International High Resolution Manometry Working Group. Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil 2012; 24 (Suppl. 01) 57-65
  • 9 Boeckxstaens GE, Annese V, des Varannes SB. et al. European Achalasia Trial Investigators. Pneumatic dilation versus laparoscopic Heller’s myotomy for idiopathic achalasia. N Engl J Med 2011; 364 (19) 1807-1816
  • 10 Dunaway PM, Wong RK. Risk and surveillance intervals for squamous cell carcinoma in achalasia. Gastrointest Endosc Clin N Am 2001; 11 (02) 425-434, ix