Bronchoesophageal Fistula Due to Mycobacterium tuberculosis and Cytomegalovirus in a Patient with AIDS

Porter and colleagues reported three cases of tuberculous bronchoesophageal fistulae in HIV-infected patients [1]. We recently cared for another such patient with concomitant cytomegalovirus (CMV) infection. Unlike the three cases reported by Porter et al., our patient had dual infection with M. tub...

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Bibliographic Details
Published in:Clinical infectious diseases 1996-03, Vol.22 (3), p.581-581
Main Authors: Vartian, Carl V., Septimus, Edward J.
Format: Article
Language:English
Subjects:
Adult
AIDS-Related Opportunistic Infections - complications
AIDS-Related Opportunistic Infections - microbiology
AIDS-Related Opportunistic Infections - virology
AIDS/HIV
Biological and medical sciences
Brief Reports
Cytomegalovirus
Cytomegalovirus - isolation & purification
Cytomegalovirus Infections - complications
Cytomegalovirus Infections - virology
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infections
Infectious diseases
Male
Medical sciences
Mycobacterium tuberculosis
Mycobacterium tuberculosis - isolation & purification
Tracheoesophageal Fistula - complications
Tracheoesophageal Fistula - microbiology
Tracheoesophageal Fistula - virology
Tuberculosis
Tuberculosis - complications
Tuberculosis - microbiology
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Summary:Porter and colleagues reported three cases of tuberculous bronchoesophageal fistulae in HIV-infected patients [1]. We recently cared for another such patient with concomitant cytomegalovirus (CMV) infection. Unlike the three cases reported by Porter et al., our patient had dual infection with M. tuberculosis and CMV. Although CMV can often be isolated from immunocompromised patients in the absence of disease, our patient had histological evidence of inclusions believed to be indicative of infection. As he had an excellent response to a combination of antiviral and antituberculous chemotherapy, we can only speculate as to the importance of either CMV or M. tuberculosis in producing our patient's disease.
ISSN:1058-4838
1537-6591
DOI:10.1093/clinids/22.3.581