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Vol. 13. Issue 5.
Pages 703-709 (September - October 2007)
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Vol. 13. Issue 5.
Pages 703-709 (September - October 2007)
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Pneumonia por Rhodococcus equi em doente VIH (+): A propósito de uma associação rara
Rhodococcus equi pneumonia in a HIV (+) patient: An uncommon association
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Paula Esteves1, Ana Mineiro1, Margarida Serrado2, António Diniz2,3
1 Assistente Hospitalar de Pneumologia
2 Assistente Hospitalar Graduado de Pneumologia
3 Unidade de Imunodeficiência, Hospital de Pulido Valente, Lisboa
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Resumo

A infecção humana por Rhodococcus equi, mesmo no contexto da infecção pelo VIH, é relativamente rara. Os autores apresentam o caso clínico de um indivíduo, infectado pelo VIH, que apresentava um quadro clínico e imagiológico compatível com pneumonia, cujos exames iniciais revelaram a presença de Pneumocystis jiroveci. Após realização de terapêutica específica, perante a manutenção do quadro clínico-imagiológico, procedeu-se à realização de novos exames complementares, tendo sido identificado a presença de Rhodococcus equi no lavado broncoalveolar. Com instituição de terapêutica dirigida a este agente, verificou--se progressiva melhoria clínica e imagiológica. Os autores efectuam uma revisão bibliográfica da pneumonia por Rhodococcus equi, salientando a raridade desta associação e a elevada sobrevida observada.

Palavras-chave:
Rhodococcus equi
Pneumocystis jiroveci
VIH
Abstract

The human infection by Rhodococcus equi, even in the presence of HIV infection, remains a rare disease. The authors present a case report of pneumonia, occurring in a HIV (+) man. After identifying Pneumocystis jiroveci in the BAL, despite proper medication, the patient didn’t improve. Another BAL was performed and a Rhodoccus equi isolated. The therapeutic regimen was changed according to this finding and the patient improved. The authors make a review of the literature, focusing on the rarity of this association and the high survival observed.

Key-words:
Rhodococcus equi
Pneumocystis jiroveci
HIV
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Copyright © 2007. Sociedade Portuguesa de Pneumologia
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