title: [Broncho-mediastinal fistula -- a rare manifestation of a tumor].
abstract: Broncho-mediastinal fistulaes are a very rare condition, existing only a report of a case related with primary lung cancer. The authors present a clinical case of a white 58-year-old man, with previous history of cigarette smoking and diabetes, with fever, productive cough and progressive dyspnea, with radiological evidence of right inferior lobar pneumonia. We noticed a radiological deterioration, despite the high spectrum antibiotic therapy, so he was submitted to thoracic computerized tomography and broncofibroscopy, which revealed extensive infiltration of the principal and intermediary bronchioles with a broncho-mediastinal-esophagic fistula. The histological exam revealed a pavimentam cellular carcinoma.
authors.affiliation: anabela.s.marques@sapo.pt
authors.forename: A S
authors.initials: AS
authors.lastname: Marques
authors.forename: F G
authors.initials: FG
authors.lastname: Pinto
authors.forename: M M
authors.initials: MM
authors.lastname: Noronha
authors.forename: J
authors.initials: J
authors.lastname: Vera
authors.forename: M
authors.initials: M
authors.lastname: Monteiro
mesh_terms: D001983:Bronchial Fistula / Q000209:etiology*; D002277:Carcinoma / Q000150:complications*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications*; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology*; D008875:Middle Aged