Revista Cubana de Medicina Tropical | |
Pneumonia caused by Rhodococcus equi: clinical and radiological findings in 8 AIDS patients | |
Capó de Paz, Virginia1  Jiménez Pérez, Narciso A.1  de la Paz Bermúdez, Tania1  Portela Ramírez, Daniel1  Dorvigny Scull, Ma. del Carmen1  Kitchin Wilson, Miguel A.1  | |
[1] Instituto de Medicina Tropical Pedro Kourí, Ciudad de La Habana, Cuba | |
关键词: : AIDS; Rhodoccocus equi; pneumonia; lung infection; radiology; | |
DOI : | |
学科分类:传染病学 | |
来源: SciELO | |
【 摘 要 】
INTRODUCTION: the Rhodococcus equi is one bacterium of the order Actinomycetales. It rarely appears in humans, but the HIV/AIDS epidemic has increased the number of cases and the main affected organ is the lung. It causes pneumonia characterized by a slow clinical and radiological progression. OBJECTIVE: to describe the initial radiological alterations from R. equi infection in 8 AIDS patients, the radiological evolution and the clinical and immunological presentation. METHODS: a retrospective descriptive study of radiological pulmonary images from AIDS patients with respiratory infection due to Rhodococcus equi was conducted. RESULTS: these patients presented with high fever (39oC), cough with expectoration and shortness of breath. Homogeneous opacity was the most frequent radiological presentation (62,5% of cases), located predominantly in the lower lobules. The radiological evolution was characterized by opacity with inner cavitation in 4 cases, fibrosis in 4 cases, and one case showed total recovery of lesions. The CD4+ T-cell count was low in all the patients. The evolution ranged from 2 to 33 months. CONCLUSIONS: the R equi pneumonia diagnosis should be borne in mind when dealing with HIV/AIDS patients with compromised immunological condition and breathing process with radiological manifestation of pulmonary consolidation evolving into cavitation, and torpid and prolonged clinical and radiological evolution.
【 授权许可】
CC BY-NC
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RO201911300308878ZK.pdf | 121KB | download |