Management of a tracheoesophageal fistula in a patient with AIDS.
Despite the high frequency of gastrointestinal complications and opportunistic infections in HIV-1 infected patients, tracheoesophageal (TEF) and bronchoesophageal (BEF) fístulas are rare. Our objective is to comunicate an additional and unusual case of TEF in an HIV-1-infected patient whose immunologic status was good with complete suppression of viral replication, so although uncommon, TEF/BEF of an infectious origen should be considered in AIDS. Endoscopic treatment with tracheal/esophageal stents is not without morbidity and mortality. As long as the patient can undergo reconstructive surgery, this should be the technique of choice.
1 Department of Thoracic Surgery, University Hospital Ramón y Cajal, Madrid, Spain.
Alberto
A
Cabañero
2 Department of Infectious Disease, University Hospital Ramón y Cajal, Madrid, Spain.
Fernando
F
Dronda
1 Department of Thoracic Surgery, University Hospital Ramón y Cajal, Madrid, Spain.
David
D
Saldaña
2 Department of Infectious Disease, University Hospital Ramón y Cajal, Madrid, Spain.
José Manuel
JM
Hermida
1 Department of Thoracic Surgery, University Hospital Ramón y Cajal, Madrid, Spain.
Gemma
G
Muñoz
2 Department of Infectious Disease, University Hospital Ramón y Cajal, Madrid, Spain.
Santiago
S
Moreno
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D001999:Bronchoscopy / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006678:HIV; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000601:surgery*
Acquired immunodeficiency syndrome; Cytomegalovirus; Tracheoesophageal fistula