Introduction:
Gastrointestinal tuberculosis (TB) is a rare extrapulmonary
manifestation of TB.1 Involvement of terminal ileum,
cecum, and peritoneum are more commonly documented while esophageal
involvement accounts for less than 0.2% of all TB
patients.2-4 Despite the lower incidence of TB in
Western countries, given the vague clinical manifestations of
gastrointestinal TB, clinicians are required to keep TB on their
differentials in work-up of various gastrointestinal symptoms, even if
the patient has been previously vaccinated. We present a unique case of
esophageal and duodenal TB in a patient who was vaccinated with BCG,
with a prior negative Mantoux tuberculin skin test (TST).