Bronchopleural and pleurocutaneous fistula in HIV patient with pulmonary tuberculosis
Filipa Duarte-Ribeiro1, Cátia Dias1, Margarida Mota2
1Centro Hospitalar Vila Nova de Gaia/Espinho - Internal Medicine Department, Portugal.
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.
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