n South African Journal of Surgery - Oesophago-pleuro-cutaneous fistula in an HIV-positive patient : letter to the editor

Volume 46, Issue 3
  • ISSN : 0038-2361
  • E-ISSN: 2078-5151



A 53-year-old man who had been on antiretroviral treatment for 8 months presented with dyspnoea, weight loss and night sweats. Investigations showed anaemia (haemoglobin concentration 8 g/dl), leucocytosis (white cell count 20x109/l) and dehydration, the erythrocyte sedimentation rate was 135 mm/h, and the CD4 count was 4 cells/µl. The chest radiograph was not suggestive of tuberculosis (TB), but showed a right pleural effusion; a drain was inserted and 1.5 litres of pus was drained. When the drain was removed, ingested food was seen to be draining through the site. Despite this, the patient was in a stable condition.

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