A clinical case of multidrug-resistant tuberculosis complicated by esophageal-pulmonary fistula in a palliative patient

We present our own observation of the multidrug-resistant tuberculosis course case, complicated by esophageal-pulmonary fistula, in a palliative patient who was treated Pulmonary Tuberculosis Department No. 2 Zaporizhzhia Regional Phthisio-pulmonology Clinical Treatment and Diagnostic Center. An esophago-pulmonary fistula with detected area right upper lobectomy, wich perfomed 8.5 years ago. The on treatment for almost 6 before hospital admission when tubercular diagnosed. admitted to serious condition, which significantly worsened over month. A decision made perform computed tomography chest cavity (Сhest CT) as patient's cough pain were associated liquid food intake. Esophageal-pulmonary Chest CT linear air defect esophageal wall up 1.5 mm, conjugates cavern lobe lung. small size (1.5 mm) indicates timeliness its detection. In presented is treatment. Therefore, order prevent progression feeding through nasogastric tube antibiotic therapy prescribed. Thus, if has paroxysmal that occurs during or immediately after eating, use relevant timely diagnosis eso­phagealpulmonary fistula. If such diagnosed, it necessary parenteral therapy.