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(Chest. 1994;106:1278-1279.)
© 1994 American College of Chest Physicians

Tamponade Due to Rhodococcus equi in Acquired Immunodeficiency Syndrome

Annick Legras M.D.1; Bruno Lemmens M.D.1; Pierre-François Dequin M.D.1; Blandine Cattier M.D.2; and Jean-Marc Besnier M.D.3

1 From Service de Rénimation Médicale, Hôpital Bretonneau, Cedex, France
2 From Laboratoire de Microbiologie, Hôpital Bretonneau, Cedex, France
3 From Service des Maladies Infectieuses, Hôpital Bretonneau, Cedex, France

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, clarythromycin, rifampicin, supplemented by empirical treatment of cerebral toxoplasmosis. Antibiotherapy was terminated after 6 months, without relapse 2 months later.

Key Words: acquired immunodeficiency syndrome • pneumonia • Rhodococcus equi • tamponade




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[Abstract] [Full Text] [PDF]


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