The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 60 , ISSUE 1 ( January-March, 2018 ) > List of Articles

CASE REPORT

Achalasia Cardia Masquadring as Mediastinal Tuberculosis in a 12-year-old Girl

Kamal Nain Rattan, Jasbir Singh, Poonam Dalal

Keywords : Achalasia, Dysphagia, Respiratory disease, Tuberculosis

Citation Information : Rattan KN, Singh J, Dalal P. Achalasia Cardia Masquadring as Mediastinal Tuberculosis in a 12-year-old Girl. Indian J Chest Dis Allied Sci 2018; 60 (1):39-41.

DOI: 10.5005/ijcdas-60-1-39

License: NA

Published Online: 18-03-2018

Copyright Statement:  NA


Abstract

Achalasia is a rare neurodegenerative disorder with deranged oesophageal peristalsis and lower oesophageal sphincter function. We report a case of achalasia cardia in 12-year-old child, who presented with respiratory tract infections. This patient was misdiagnosed as a case of mediastinal tuberculosis and anti-tuberculosis drugs were given for three months. However, she was diagnosed having achalasia cardia later with barium contrast studies and managed successfully with surgical intervention.


PDF Share
  1. Willis T. The combination of medication and surgery of esophageal achalasia. In: Willis T, editor Achalasia. London: Has-comitis;1674:18–9.
  2. Richter JE. Achalasia: an update. J Neurogastroenterol Motil 2010;16:232–42.
  3. Patel DA, Kim HP, Zifodya JS, Vaezi MF. Idiopathic (primary) achalasia: a review. Orphanet J Rare Dis 2015;10:89.
  4. Nabi Z, Reddy DN. Achalasia cardia: recent advances in diagnosis and endoscopic management. J Gastrointest Dig Syst 2016,6:1.
  5. Zhang Y, Xu CD, Zaouche A, Cai W. Diagnosis and management of esophageal achalasia in children: analysis of 13 cases. World J Pediatr 2009;5:56–9.
  6. Mehdi NF, Weinberger MM, N Abu-Hasan MN. Achalasia: unusual cause of chronic cough in children. Cough 2008;4:6.
  7. Dabritz J, Domagk D, Monninger M, Foell D. Achalasia mistaken as eating disorders: report of two children and review of the literature. Eur J Gastroenterol Hepatol 2010;22:775–8.
  8. Wani AW, Hussain WM, Banjar AA, Al Miamini WH, Khoujah AM, Bafaraj MG, et al. Haemoptysis in a patient of achalasia cardia: pulmonary actinomycosis, not tuberculosis. BMJ Case Rep 2010;bcr09.2009.2287.
  9. Kahrilas PJ, Kishk SM, Helm JF, Dodds WJ, Harig JM, Hogan WJ. Comparison of pseudoachalasia and achalasia. Am J Med 1987;82:439–46.
  10. Chuah SK, Chiu CH, Tai WC, Lee JH, Lu HI, Changchien CS, et al. Current status in the treatment options for esophageal achalasia. World J Gastroenterol 2013;19:5421–9.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.