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Case Reports
. 2004 Feb;21(1):147-51.
doi: 10.1016/s0761-8425(04)71247-4.

[Pulmonary nocardiosis and broncho-oesophageal fistula in a patient infected with HIV]

[Article in French]
J C Luketombunga  1 , J Virally, J L Jagot, A Elhadad, C Lebarbier, M Mathieu
Affiliations
Case Reports

[Pulmonary nocardiosis and broncho-oesophageal fistula in a patient infected with HIV]

[Article in French]
J C Luketombunga et al. Rev Mal Respir. 2004 Feb.

Abstract

Introduction: We report a case of extensive pulmonary nocardiosis in a patient infected with HIV.

Case report: It presented as bilateral cavitated masses and bulky necrotic mediastinal lymphadenopathy causing broncho-oesophageal fistulae. There was associated infection with Mycobacterium Avium. There was satisfactory progress following bipolar oesophageal isolation, nutrition via a jejunostomy and antibiotic therapy with co-amoxiclav. Healing of the fistulae after 11 months allowed surgical restoration of oesophago-gastric continuity.

Conclusion: As with other bacteria, HIV can modify the clinical spectrum of nocardiosis.

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