Tamponade due to Rhodococcus equi in acquired immunodeficiency syndrome

Chest. 1994 Oct;106(4):1278-9. doi: 10.1378/chest.106.4.1278.

Abstract

Infection with Rhodococcus equi has been described as a cause of cavitary pneumonia in AIDS patients. We report such a case, complicated by bacteremia, tamponade, and possible brain and liver abscesses. Medical treatment was successful with pericardiocentesis and antibiotherapy with teicoplanin, gentamicin, clarithromycin, rifampicin, supplemented by empirical treatment of cerebral toxoplasmosis. Antibiotherapy was terminated after 6 months, without relapse 2 months later.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / complications*
  • AIDS-Related Opportunistic Infections / drug therapy
  • AIDS-Related Opportunistic Infections / microbiology
  • Actinomycetales Infections / complications*
  • Actinomycetales Infections / drug therapy
  • Adult
  • Anti-Bacterial Agents
  • Cardiac Tamponade / diagnostic imaging
  • Cardiac Tamponade / etiology*
  • Cardiac Tamponade / therapy
  • Drug Therapy, Combination / therapeutic use
  • Humans
  • Male
  • Pericardiectomy
  • Pneumonia, Bacterial / complications*
  • Pneumonia, Bacterial / drug therapy
  • Pneumonia, Bacterial / microbiology
  • Radiography
  • Rhodococcus equi*

Substances

  • Anti-Bacterial Agents