title: [Pulmonary nocardiosis and broncho-oesophageal fistula in a patient infected with HIV].
abstract: 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.
authors.affiliation: Service de Pneumologie, Hôpital Robert Ballanger, Aulnay-sous-Bois, France.
authors.forename: J C
authors.initials: JC
authors.lastname: Luketombunga
authors.forename: J
authors.initials: J
authors.lastname: Virally
authors.forename: J L
authors.initials: JL
authors.lastname: Jagot
authors.forename: A
authors.initials: A
authors.lastname: Elhadad
authors.forename: C
authors.initials: C
authors.lastname: Lebarbier
authors.forename: M
authors.initials: M
authors.lastname: Mathieu
mesh_terms: 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*