Nocardiose pulmonaire et fistule broncho-œsophagienne chez un patient infecté par le VIH

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.