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

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.

journal_name

Rev Mal Respir

authors

Luketombunga JC,Virally J,Jagot JL,Elhadad A,Lebarbier C,Mathieu M

doi

10.1016/s0761-8425(04)71247-4

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

147-51

issue

1

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(04)71247-4

journal_volume

21

pub_type

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