Chronic pneumonia caused by Rhodococcus equi in a patient without impaired immunity.
A 48 year old, human immunodeficiency virus (HIV)-negative, immunocompetent male patient had a chronic progressive pulmonary infiltrate, without radiological cavitation, in the middle lobe of the right lung produced by Rhodococcus equi. He reported direct contact with a diseased dog. The patient was diagnosed by thoracotomy and treated by lobectomy. After 16 months of follow-up, the patient was asymptomatic and had neither recurrence nor immunological disturbances.
Linares
M J
MJ
Pneumology Service, Hospital Universitario, 12 de Octubre, Madrid, Spain.
López-Encuentra
A
A
Perea
S
S
D000193:Actinomycetales Infections / Q000175:diagnosis* / Q000601:surgery / Q000635:transmission; D000818:Animals; D002908:Chronic Disease; D004283:Dog Diseases / Q000382:microbiology / Q000635:transmission; D004285:Dogs; D005500:Follow-Up Studies; D018023:HIV Seronegativity; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000601:surgery; D016929:Rhodococcus equi; D013908:Thoracotomy