Spontaneous resolution of rhodococcal pulmonary infection in a liver transplant recipient
Pulmonary infection by Rhodococcus equi is characterized by indolent infection in an immunocompromised host with a propensity to form cavitary lesions. Mortality can be greater than 50%; treatment involves prolonged therapy with multiple antibiotics and, occasionally, surgical resection. Recurrence...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1997-08, Vol.90 (8), p.851-854 |
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| container_title | Southern medical journal (Birmingham, Ala.) |
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| creator | SCHILZ, R. J KAVURU, M. S HALL, G WINKELMAN, E |
| description | Pulmonary infection by Rhodococcus equi is characterized by indolent infection in an immunocompromised host with a propensity to form cavitary lesions. Mortality can be greater than 50%; treatment involves prolonged therapy with multiple antibiotics and, occasionally, surgical resection. Recurrence is common. We report a case of a liver transplant patient with a pulmonary nodule caused by R equi; the nodule followed a benign clinical course and resolved spontaneously. This case illustrates that the spectrum of disease caused by R equi is not fully appreciated and that significant pitfalls complicate the diagnosis and management of infection by this unusual and probably underrecognized pathogen. |
| doi_str_mv | 10.1097/00007611-199708000-00018 |
| format | Article |
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This case illustrates that the spectrum of disease caused by R equi is not fully appreciated and that significant pitfalls complicate the diagnosis and management of infection by this unusual and probably underrecognized pathogen.</description><identifier>ISSN: 0038-4348</identifier><identifier>EISSN: 1541-8243</identifier><identifier>DOI: 10.1097/00007611-199708000-00018</identifier><identifier>PMID: 9258318</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Actinomycetales Infections - diagnosis ; Actinomycetales Infections - microbiology ; Actinomycetales Infections - therapy ; Biological and medical sciences ; Diagnosis, Differential ; Humans ; Liver Transplantation ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical sciences ; Middle Aged ; Rhodococcus equi ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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This case illustrates that the spectrum of disease caused by R equi is not fully appreciated and that significant pitfalls complicate the diagnosis and management of infection by this unusual and probably underrecognized pathogen.</description><subject>Actinomycetales Infections - diagnosis</subject><subject>Actinomycetales Infections - microbiology</subject><subject>Actinomycetales Infections - therapy</subject><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Liver Transplantation</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Rhodococcus equi</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham, Ala.), 1997-08, Vol.90 (8), p.851-854 |
| issn | 0038-4348 1541-8243 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Actinomycetales Infections - diagnosis Actinomycetales Infections - microbiology Actinomycetales Infections - therapy Biological and medical sciences Diagnosis, Differential Humans Liver Transplantation Liver, biliary tract, pancreas, portal circulation, spleen Male Medical sciences Middle Aged Rhodococcus equi Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Spontaneous resolution of rhodococcal pulmonary infection in a liver transplant recipient |
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