Tuberculous Bronchoesophageal Fistula in Nephrotic Syndrome: A Silent Assassin.

Indian J Otolaryngol Head Neck Surg

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.

Published: October 2019

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848563PMC
http://dx.doi.org/10.1007/s12070-017-1130-5DOI Listing

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