[Pulmonary nocardiosis and broncho-oesophageal fistula in a patient infected with HIV].

INTRODUCTION

We report a case of extensive pulmonary nocardiosis in a patient infected with HIV.

CASE REPORT: 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.

CONCLUSION

As with other bacteria, HIV can modify the clinical spectrum of nocardiosis.