[Pulmonary nocardiosis and broncho-oesophageal fistula in a patient infected with HIV].
BACKGROUND
We report a case of extensive pulmonary nocardiosis in a patient infected with HIV.


METHODS
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.


CONCLUSIONS
As with other bacteria, HIV can modify the clinical spectrum of nocardiosis.
Luketombunga
J C
JC
Service de Pneumologie, Hôpital Robert Ballanger, Aulnay-sous-Bois, France.
Virally
J
J
Jagot
J L
JL
Elhadad
A
A
Lebarbier
C
C
Mathieu
M
M
D000328:Adult; D004937:Esophageal Fistula / Q000209:etiology*; D005402:Fistula / Q000209:etiology*; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009617:Nocardia Infections / Q000209:etiology*; D014133:Tracheal Diseases / Q000209:etiology*