Bronchopleural and pleurocutaneous fistula in HIV patient with pulmonary tuberculosis. (2017)

• Record Type: Journal Article
• Authors: Duarte-Ribeiro, Filipa; Dias, Cátia; Mota, Margarida
• Is Part Of: IDCases. Volume 9(2017)
• Page Start: 82
• Page End: 84
• Publication Date: 2017
• Subjects: Bronchopleural fistula -- Pleurocutaneous fistula -- HIV -- Pulmonary tuberculosis; Communicable diseases -- Periodicals; Communicable Diseases -- Case Reports; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; 616.9
• DOI: 10.1016/j.idcr.2017.06.009
• Languages: English
• ISSNs: 2214-2509

Abstract

Abstract: We present a 37-year-old man intravenous drug user, with HIV/HCV/HBV co-infection, lymph node tuberculosis 10 years before (completed 12 months of treatment), and left lobar pneumonia 4 years earlier complicated by empyema (treated with left lower lobectomy with a persistent bronchopleural fistula) who was admitted to the emergency department with caseous-purulent drainage and exteriorization of air from an orifice in the chest wall. Acid-fast bacilli were identified in this drainage. A pleurocutaneous fistula was evident on the chest computed tomography scan. He was admitted to the Infectious Diseases Unit and started on antituberculous therapy with a favorable outcome.