Case Report: Spontaneous Carinal Perforation and Bronchonodal Fistula due to Pulmonary Nocardiosis in an HIV-Infected Patient

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  • 1 Division of Pulmonology, Department of Medicine, Hat Yai Medical Education Center, Hat Yai Hospital, Songkhla, Thailand

In clinical practice, nocardial infection is a rare opportunistic infection coexisting with potentially life-threatening condition, particularly in patients with HIV infection. Although the incidence remains low, it is still associated with high morbidity and mortality. Pulmonary involvement is typical site in this organism, and complicating conditions can be resulted from local disruption and or destruction of adjacent structures. To our knowledge, this is the first case of pulmonary nocardiosis in an HIV-infected patient who is complicated with spontaneous carinal perforation, leading to develop bronchonodal fistula.

Author Notes

Address correspondence to Narongwit Nakwan, Division of Pulmonology, Department of Medicine, Hat Yai Medical Education Center, Hat Yai Hospital, Songkhla 90110, Thailand, E-mail: naronak@hotmail.com

Author’s address: Narongwit Nakwan, Division of Pulmonology, Department of Medicine, Hat Yai Medical Education Center, Hat Yai Hospital, Songkhla, Thailand, E-mail: naronak@hotmail.com.

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