title: [Rhodococcus equi in HIV infected patients: 2 new cases].
abstract: We reported two HIV infected patients with bacteremia and pneumonia due to Rhodococcus equi. None of them had suffer any opportunistic infection before this episode. Clinical presentation includes respiratory tract symptoms of subacute onset and fever. The X-ray examination in both cases revealed pneumonia and lung abscess in upper lobes as well as lung infiltrates in other lobes. The microorganism was isolated in lung fine needle aspiration, bronchoalveolar lavage and blood cultures in both cases. One patient died and the other was under antibiotic treatment 5 months after discharge. The therapeutic options in this infection must include the use of at least two different antibiotics to which the microorganism is sensitive, and for a prolonged period of time. Surgical treatment should be considered if the evolution is poor.
authors.affiliation: Unidad de Enfermedades Infecciosas, Hospital Nuestra Señora de Aránzazu, San Sebastián.
authors.forename: J
authors.initials: J
authors.lastname: Arrizabalaga
authors.forename: J A
authors.initials: JA
authors.lastname: Iribarren
authors.forename: C
authors.initials: C
authors.lastname: Garde
authors.forename: F J
authors.initials: FJ
authors.lastname: Rodríguez-Arrondo
authors.forename: J M
authors.initials: JM
authors.lastname: García-Arenzana
authors.forename: P
authors.initials: P
authors.lastname: Idígoras
mesh_terms: D000193:Actinomycetales Infections / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009894:Opportunistic Infections / Q000150:complications / Q000382:microbiology*; D016929:Rhodococcus equi
vernacular_title: Rhodococcus equi en pacientes con infección por el VIH: dos nuevos casos.