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.
Clinica delle Malattie Infettive, Università degli Studi di Milano, Ospedale Luigi Sacco, Italy.
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Rusconi
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Meroni
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M
Galli
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*