Management of a tracheoesophageal fistula in a patient with AIDS

Asian Cardiovasc Thorac Ann. 2017 Mar;25(3):226-228. doi: 10.1177/0218492317696374. Epub 2017 Jan 1.

Abstract

Despite the high frequency of gastrointestinal complications and opportunistic infections in HIV-1 infected patients, tracheoesophageal (TEF) and bronchoesophageal (BEF) fístulas are rare. Our objective is to comunicate an additional and unusual case of TEF in an HIV-1-infected patient whose immunologic status was good with complete suppression of viral replication, so although uncommon, TEF/BEF of an infectious origen should be considered in AIDS. Endoscopic treatment with tracheal/esophageal stents is not without morbidity and mortality. As long as the patient can undergo reconstructive surgery, this should be the technique of choice.

Keywords: Acquired immunodeficiency syndrome; Cytomegalovirus; Tracheoesophageal fistula.

Publication types

  • Case Reports

MeSH terms

  • Acquired Immunodeficiency Syndrome / complications*
  • Adult
  • Anastomosis, Surgical / methods
  • Bronchoscopy / methods*
  • Endoscopy, Gastrointestinal / methods*
  • Esophagus / surgery*
  • HIV*
  • Humans
  • Male
  • Stents
  • Tomography, X-Ray Computed
  • Trachea / surgery*
  • Tracheoesophageal Fistula / complications
  • Tracheoesophageal Fistula / surgery*