Malnutrition is a common complication of liver disease and it adversely affects patient outcome. Aetiologic factors include hypermetabolism, malabsorption, altered nutrient metabolism and anorexia. Use of traditional nutritional assessment tools, such as anthropometry along with subjective global assessment scale and biometric measures, should be done to evaluate cirrhotic patients for malnutrition. Improvements in nutritional status can improve outcomes of patients with advanced liver disease.
Esophageal tuberculosis (TB) is a rare condition that accounts for only 2.8% of all cases of gastrointestinal TB [1]. It usually occurs as a result of direct spread from mediastinal lymph nodes and rarely from the lungs or bloodstream. Two types of esophageal TB have been described: Primary and secondary [2]. The secondary type is more common as primary involvement is extremely rare due to the intrinsic protective properties of the esophagus [3]. If left untreated, esophageal TB can lead to bleeding, perforation, fistula formation, aspiration pneumonia, fatal hematemesis, traction diverticula, and esophageal strictures [4]. Thus, through this case report, we wish to emphasize that it is imperative to keep esophageal TB as an important differential diagnosis, particularly in cases of dysphagia [5].
CASE REPORTA 27-year-old female presented to our tertiary care center with complaints of cough (especially after eating), dysphagia, decreased appetite, and undocumented weight loss (in form of loosening of clothes) for the past one month. She denied any history of fever, hemoptysis, hematemesis, nasal regurgitation, hoarseness or change in voice, dyspnea, or any chest pain.Pallor was present but the rest of the physical examination was unremarkable. Pulse rate was 96/min with a regular rhythm and no radioradial or radiofemoral delay, respiratory rate was 22/min, blood pressure was 122/86 mmHg in the right arm in the supine position, and weighed 52 kg on admission.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.