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(Chest. 1999;115:889-892.)
© 1999 American College of Chest Physicians

Pulmonary Malacoplakia Associated With Rhodococcus equi Infection in a Patient With AIDS*

Myung Soo Shin, MD, FCCP; J. Allen D. Cooper, Jr., MD, FCCP and Kang-Jey Ho, MD, PhD

* From the Departments of Radiology (Dr. Shin), Pulmonary Medicine (Dr. Cooper), and Pathology (Dr. Ho), University of Alabama School of Medicine, Birmingham, AL.

An AIDS patient with a cavitary lung lesion was found to have pulmonary malacoplakia associated with Rhodococcus equi infection. The diagnosis was based on the typical histologic features of transbronchial biopsy and a positive bacterial culture. All 13 reported cases of AIDS patients with pulmonary malacoplakia were associated with R equi. The recognition of this unique entity is important because of its responsiveness to therapy.

Key Words: acquired immunodeficiency syndrome • pulmonary malacoplakia • Rhodococcus equi






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