Tracheoesophageal fistula in an HIV-1-positive man due to dual infection of Candida albicans and cytomegalovirus.
We report a 35-year-old HIV-1-positive man who presented with severe dyspnea and a nonproductive cough. Three fiberoptic bronchoscopic examination revealed an infiltrating and vegetating tracheal mass that was diagnosed as necrotizing candidiasis of the trachea. The lesion resulted in the formation of a tracheoesophageal fistula that eventually led to the death of the patient. Postmortem examination showed cytomegalovirus vasculitis in the esophageal wall.
Rusconi
S
S
Clinica delle Malattie Infettive, Università degli Studi di Milano, Ospedale Luigi Sacco, Italy.
Meroni
L
L
Galli
M
M
D017088:AIDS-Related Opportunistic Infections / Q000150:complications*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications; D000328:Adult; D002177:Candidiasis / Q000150:complications*; D003586:Cytomegalovirus Infections / Q000150:complications*; D015497:HIV-1; D006801:Humans; D008297:Male; D009336:Necrosis; D014138:Tracheoesophageal Fistula / Q000209:etiology*