Primary retroperitoneal abscesses due to Rhodococcus equi in a patient with severe nephrotic syndrome: successful antibiotic treatment with linezolid and tigecycline

Int J Infect Dis. 2010 Jun;14(6):e533-5. doi: 10.1016/j.ijid.2009.06.021. Epub 2009 Sep 15.

Abstract

We present a case of Rhodococcus equi primary retroperitoneal abscesses without pulmonary involvement in an immunocompromised patient with severe nephrotic syndrome. No risk factors for exposure to R. equi were present. The infection was successfully treated with long-term combination antibiotic treatment including linezolid and tigecycline.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / complications
  • Abdominal Abscess / drug therapy*
  • Abdominal Abscess / microbiology
  • Acetamides / administration & dosage
  • Acetamides / therapeutic use*
  • Actinomycetales Infections / complications
  • Actinomycetales Infections / drug therapy*
  • Adult
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use*
  • Drug Therapy, Combination
  • Humans
  • Immunocompromised Host*
  • Injections, Intravenous
  • Linezolid
  • Male
  • Microbial Sensitivity Tests
  • Minocycline / administration & dosage
  • Minocycline / analogs & derivatives*
  • Minocycline / therapeutic use
  • Nephrotic Syndrome / complications*
  • Oxazolidinones / administration & dosage
  • Oxazolidinones / therapeutic use*
  • Retroperitoneal Space / pathology
  • Rhodococcus equi*
  • Tigecycline
  • Treatment Outcome

Substances

  • Acetamides
  • Anti-Bacterial Agents
  • Oxazolidinones
  • Tigecycline
  • Minocycline
  • Linezolid