title: [Rhodococcus equi infection in HIV disease].
abstract: A case of Rhodococcus equi pneumonia associated with septicemia and metastatic brain abscess in an HIV-infected male is presented. Clinical findings and the diagnostic and therapeutic approach are discussed. Cavitating pulmonary disease was rapidly improved by six-week combined oral and parenteral antibiotic treatment. However, pulmonary relapse and brain abscess were documented after one month. Therapy with ceftriaxone, ciprofloxacin and cotrimoxazole on an outpatient basis again led to clinical and radiological improvement after four weeks. Surgical resection of localized processes should be considered early, and prolonged antibiotic therapy over months is recommended.
authors.affiliation: Departement für Innere Medizin, Universitätsspital Zürich.
authors.forename: M
authors.initials: M
authors.lastname: Flepp
authors.forename: R
authors.initials: R
authors.lastname: Lüthy
authors.forename: J
authors.initials: J
authors.lastname: Wüst
authors.forename: W
authors.initials: W
authors.lastname: Steinke
authors.forename: P
authors.initials: P
authors.lastname: Greminger
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000193:Actinomycetales Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D000328:Adult; D000900:Anti-Bacterial Agents; D001922:Brain Abscess / Q000150:complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011859:Radiography; D012240:Rhodococcus
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Rhodococcus-equi-Infektion bei HIV-Krankheit.