[Cavitated pulmonary condensation by Rhodococcus equi, in an HIV seropositive individual].
The first clinical case described in Portugal of a human infection by Rhodococcus equi in a 35 year-old HIV1 seropositive i.v. drug user is presented. The patient was admitted to hospital due to clinical and radiological suspicion of tuberculosis. While in hospital, a Rhodococcus equi cavitated lung infection was diagnosed. By applying a triple antibiotic therapy with erythromycin, rifampin and teicoplanin along with surgical excision of the lower lobe of the right lung, we were able to clinically resolve the pulmonary infection. A brief review of Rhodococcus equi infections, especially those associated to HIV1 infected individuals is also presented with particular emphasis on the therapeutic approach.
Serviço de Doenças Infecciosas, Parasitárias e de Medicina Tropical, Hospital Egas Moniz, Lisboa.
A
A
Messias
C
C
Araújo
S
S
Lino
T
T
Pacheco
K
K
Masinho
D
D
Ordway
F A
FA
Ventura
D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D000193:Actinomycetales Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006679:HIV Seropositivity / Q000150:complications; D006801:Humans; D008297:Male; D011859:Radiography; D016929:Rhodococcus equi
D000900:Anti-Bacterial Agents