Severe Rhodococcus equi pneumonia : case report and literature review
Rhodococcus equi is an aerobic, gram-positive, non-motile pleomorphic bacillus infecting immunocompromised patients. Forty-nine cases of Rhodococcus equi infection have been reported, mainly in patients infected with the human immunodeficiency virus (HIV). A case in which Rhodococcus equi caused sev...
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| Veröffentlicht in: | European journal of clinical microbiology & infectious diseases 1991-09, Vol.10 (9), p.762-768 |
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| container_title | European journal of clinical microbiology & infectious diseases |
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| creator | VESTBO, J LUNDGREN, J. D GAUB, J RØDER, B GUTSCHIK, E |
| description | Rhodococcus equi is an aerobic, gram-positive, non-motile pleomorphic bacillus infecting immunocompromised patients. Forty-nine cases of Rhodococcus equi infection have been reported, mainly in patients infected with the human immunodeficiency virus (HIV). A case in which Rhodococcus equi caused severe pulmonary infection, the most common presentation, is described. Clinically, patients have symptoms of pneumonia with hemoptysis as a prominent feature. X-ray will often show a cavitating upper-lobe infiltrate, resembling infection with mycobacteria. Rhodococcus equi is easily cultured from blood or sputum on standard media, but is frequently regarded as a contaminant. Mortality from Rhodococcus equi pneumonia is high (25%) and early surgical intervention has been recommended. Based on this review, the benefit of surgery seems dubious, whereas good results have been obtained using long-term antibiotic treatment with erythromycin plus rifampicin, or vancomycin in combination with either of these antibiotics. |
| doi_str_mv | 10.1007/BF01972506 |
| format | Article |
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Based on this review, the benefit of surgery seems dubious, whereas good results have been obtained using long-term antibiotic treatment with erythromycin plus rifampicin, or vancomycin in combination with either of these antibiotics.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/BF01972506</identifier><identifier>PMID: 1810733</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Acquired Immunodeficiency Syndrome - complications ; Actinomycetales Infections - microbiology ; Adult ; AIDS/HIV ; Bacterial diseases ; Biological and medical sciences ; Drug Therapy, Combination - therapeutic use ; Erythromycin - therapeutic use ; human immunodeficiency virus ; Humans ; Immunocompromised Host ; Infectious diseases ; Male ; Medical sciences ; Pneumonia - microbiology ; Rhodococcus equi ; Rhodococcus equi - isolation & purification ; Rifampin - therapeutic use ; Vancomycin - therapeutic use</subject><ispartof>European journal of clinical microbiology & infectious diseases, 1991-09, Vol.10 (9), p.762-768</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5274495$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1810733$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VESTBO, J</creatorcontrib><creatorcontrib>LUNDGREN, J. D</creatorcontrib><creatorcontrib>GAUB, J</creatorcontrib><creatorcontrib>RØDER, B</creatorcontrib><creatorcontrib>GUTSCHIK, E</creatorcontrib><title>Severe Rhodococcus equi pneumonia : case report and literature review</title><title>European journal of clinical microbiology & infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>Rhodococcus equi is an aerobic, gram-positive, non-motile pleomorphic bacillus infecting immunocompromised patients. Forty-nine cases of Rhodococcus equi infection have been reported, mainly in patients infected with the human immunodeficiency virus (HIV). A case in which Rhodococcus equi caused severe pulmonary infection, the most common presentation, is described. Clinically, patients have symptoms of pneumonia with hemoptysis as a prominent feature. X-ray will often show a cavitating upper-lobe infiltrate, resembling infection with mycobacteria. Rhodococcus equi is easily cultured from blood or sputum on standard media, but is frequently regarded as a contaminant. Mortality from Rhodococcus equi pneumonia is high (25%) and early surgical intervention has been recommended. Based on this review, the benefit of surgery seems dubious, whereas good results have been obtained using long-term antibiotic treatment with erythromycin plus rifampicin, or vancomycin in combination with either of these antibiotics.</description><subject>Acquired Immunodeficiency Syndrome - complications</subject><subject>Actinomycetales Infections - microbiology</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Drug Therapy, Combination - therapeutic use</subject><subject>Erythromycin - therapeutic use</subject><subject>human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumonia - microbiology</subject><subject>Rhodococcus equi</subject><subject>Rhodococcus equi - isolation & purification</subject><subject>Rifampin - therapeutic use</subject><subject>Vancomycin - therapeutic use</subject><issn>0934-9723</issn><issn>1435-4373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLw0AUhQdRaq1u3AuzEHfReT_c2dKqUBB8rMNkcoORvDqTVPz3RgxuXd3D-T7O4iJ0Tsk1JUTfLDeEWs0kUQdoTgWXieCaH6I5sVwkI-HH6CTGDzLKRusZmlFDieZ8jtYvsIcA-Pm9zVvfej9EDLuhxF0DQ902pcO32LsIOEDXhh67JsdV2UNw_RB-2n0Jn6foqHBVhLPpLtDbZv26eki2T_ePq7tt0jGl-iQjxrA8A-BGeWasL4BbDhnJjLRjkkrnGaPKK0Y5NVxKm3tjfC4LEMZSvkBXv7tdaHcDxD6ty-ihqlwD7RBTzTQ1wqh_RaqY0JSYUbyYxCGrIU-7UNYufKXTg0Z-OXEXvauK4Bpfxj9NMi2ElfwbQFlyIA</recordid><startdate>19910901</startdate><enddate>19910901</enddate><creator>VESTBO, J</creator><creator>LUNDGREN, J. 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D ; GAUB, J ; RØDER, B ; GUTSCHIK, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-b0882dbee386c289cfe393eb0b859393567db216c6213183559dc88cd5fe48913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Acquired Immunodeficiency Syndrome - complications</topic><topic>Actinomycetales Infections - microbiology</topic><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Drug Therapy, Combination - therapeutic use</topic><topic>Erythromycin - therapeutic use</topic><topic>human immunodeficiency virus</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pneumonia - microbiology</topic><topic>Rhodococcus equi</topic><topic>Rhodococcus equi - isolation & purification</topic><topic>Rifampin - therapeutic use</topic><topic>Vancomycin - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VESTBO, J</creatorcontrib><creatorcontrib>LUNDGREN, J. 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X-ray will often show a cavitating upper-lobe infiltrate, resembling infection with mycobacteria. Rhodococcus equi is easily cultured from blood or sputum on standard media, but is frequently regarded as a contaminant. Mortality from Rhodococcus equi pneumonia is high (25%) and early surgical intervention has been recommended. Based on this review, the benefit of surgery seems dubious, whereas good results have been obtained using long-term antibiotic treatment with erythromycin plus rifampicin, or vancomycin in combination with either of these antibiotics.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>1810733</pmid><doi>10.1007/BF01972506</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0934-9723 |
| ispartof | European journal of clinical microbiology & infectious diseases, 1991-09, Vol.10 (9), p.762-768 |
| issn | 0934-9723 1435-4373 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Acquired Immunodeficiency Syndrome - complications Actinomycetales Infections - microbiology Adult AIDS/HIV Bacterial diseases Biological and medical sciences Drug Therapy, Combination - therapeutic use Erythromycin - therapeutic use human immunodeficiency virus Humans Immunocompromised Host Infectious diseases Male Medical sciences Pneumonia - microbiology Rhodococcus equi Rhodococcus equi - isolation & purification Rifampin - therapeutic use Vancomycin - therapeutic use |
| title | Severe Rhodococcus equi pneumonia : case report and literature review |
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