Severe Rhodococcus equi pneumonia: Case report and literature review

J. Vestbo, J. D. Lundgren, J. Gaub, B. Røder, E. Gutschik

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    Rhodococcus equi is an aerobic, gram-positive, non-motile pleomorphic bacillus infecting immunocompromized patients. Forty-nine cases of Rhodococcus equi infection have been reported, mainly in patients infected with the human immunodeficiency virns (HIV). A case in which Rhodococcus equi eaused 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 upperlobe 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.

    Sider (fra-til)762-768
    Antal sider7
    TidsskriftEuropean Journal of Clinical Microbiology & Infectious Diseases
    Udgave nummer9
    StatusUdgivet - 1 sep. 1991

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