Bronchopleural and pleurocutaneous fistula in HIV patient with pulmonary tuberculosis

Bronchopleural and pleurocutaneous fistula in HIV patient with pulmonary tuberculosis

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 o...

Pulmonary Cavity From Mycobacterium malmoense in an HIV-Infected Patient: Complicated by Bronchopleural Fistula

We present a case of M. malmoense and HIV co-infection complicated by aspergilloma leading to bronchopleural fistula with intractable pneumothorax and pleural aspergillosis, ultimately requiring surgical intervention. Treatment guidelines for M. malmoense are reviewed, literature regarding M. malmoense and HIV co-infection is reviewed, and the epidemiology of M. malmoense in North America is di...

Bronchopleural fistula complicating massive pulmonary infarction.

Ventilator auto-triggering in a patient with tuberculous bronchopleural fistula.

We report a case of ventilator auto-triggering resulting from tuberculous bronchopleural fistula being managed with chest tube suction. Early recognition of bronchopleural fistula-related auto-triggering is extremely important. Auto-triggering can lead to serious adverse effects, including severe hyperventilation and inappropriate escalation of sedatives and/or neuromuscular blockers (administe...

Bronchopleural Fistula

A 58-year-old man presented to the emergency department with diffuse swelling and crepitus of his face, chest, and extremities due to subcutaneous air (Figure). The patient had a history of lung cancer and had undergone a video-assisted transthoracic surgery (VATS) with decortications. His airway was maintained, and the patient reported only minimal shortness of breath with change in his phonat...