<i>Rhodococcus equi</i> Pericarditis in a Patient Living with HIV/AIDS

Gundelly, Praveen; Thornton, Alice; Greenberg, Richard N.; McCormick, Maggie; Myint, Thein

doi:10.1177/2325957414520979

Cited by 8 publications

(4 citation statements)

References 10 publications

(14 reference statements)

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“…Later, due to the increasing number of HIV infections, the development of transplantation, and diagnostic methods, the number of diagnosed cases of R. equi surged in apparently immunocompetent individuals. Nowadays, the amount of infection in immunocompromised people is growing, which is highly alarming due to the emerging antibiotic resistance of R. equi [ 8 , 33 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

“…Pneumonia is the most common manifestation in humans, but EPDs, including pericarditis, mastitis, empyema, pericarditis, mediastinal and intra-abdominal lymphadenopathy, brain and psoas abscesses, osteomyelitis, and spondylodiscitis are also observed. There are also cases of sepsis in preterm infants who had respiratory distress [ 8 , 43 , 44 , 45 ].…”

Section: Introductionmentioning

confidence: 99%

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Rhodococcus equi—Occurrence in Goats and Clinical Case Report

et al. 2021

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Background: Rhodococcus equi infection is commonly known in equine medicine to cause frequently fatal rhodococcosis. Infections in other species and people are also reported. Clinical manifestation in goats is relatively similar to horses and humans, but data regarding bacterium prevalence are scarce. Thus, the study aimed to estimate the occurrence of R. equi in goats. Methods: During post mortem examination, submandibular, mediastinal, and mesenteric lymph nodes were collected. Standard methods were used for bacteria isolation and identification. Results: A total of 134 goats were examined, and 272 lymph node samples were collected. R. equi was isolated from four animals. All four isolates carried the choE gene, and one also had traA and pVAPN plasmid genes. Conclusions: To the authors’ best knowledge, this is the first report of R. equi occurrence and genetic diversity in goats. The results may help create a model for treating rhodococcosis in other animal species and assessing the role of meat contamination as a potential source of human infection. This research should be considered a pilot study for further application of the goat as a model of R. equi infection in horses and humans.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rhodococcus equi—Occurrence in Goats and Clinical Case Report

et al. 2021

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“…Keersmaekers et al [13] reported a very similar case of primary bacterial pericarditis in 36-year-old man. Immune insufficiency state should be considered in young patients [14] but the antibody of human immunodeficiency virus (HIV) was negative in their report. Unfortunately, the antibody of HIV was not checked in our case, but she was previously healthy and was not a compromised host evaluated from her past history and examinations on admission.…”

Section: Discussionmentioning

confidence: 95%

A Case of Slowly Progressive Purulent Pericarditis in Elderly Healthy Woman

Kodani

Tadera²,

Ibuki³

et al. 2014

J Gen Pract

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A 67-year-old woman was admitted with dyspnea. The cheat X-ray showed marked cardiomegaly and the echocardiography revealed diffuse massive pericardial effusion but no finding of vegetation on valves. Clinical sign of cardiac tamponade was not observed. Values of white blood cell and C-reactive protein were 23,900/μL and 16.2 mg/dL, respectively. Immediately, pericardiocentesis was performed. Pericardial effusion was yellowish purulent exudate and Streptococcus pneumoniae was detected in culture. The early pericardial drainage and the effective doses of intravenous antibiotics and γ-globulin were successful for the treatment of this bacterial pericarditis, and no more surgical procedure was needed. Neither recurrence of inflammation nor constrictive pericarditis was developed after discontinuation of antibiotics during the follow-up period for over three years at the outpatient clinic. In this case, an infection route was unknown since pneumonia, empyema, or other focus of infection was not found. Although she had an upper respiratory infection one year prior to this pericarditis, their association was unclear. She was previously healthy and was not a compromised host. This case is thought to be rare bacterial pericarditis with slow progression in the recent antibiotic era.

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“…46 This etiology could serve as a major morbidity with really unexpected organism in immunocompromised or -competent patients. 47,48 In immunocompetent situations for systemic empiric treatment one should be guided by local resistance patterns. 49 It is reported that in comorbid patients (e.g.…”

Section: B) Purulent Pericarditismentioning

confidence: 99%

A New Endobronchial Ultrasound (EBUS) Application for Benign and Malignant Pericardial Effusion (PE) Aspiration: Transbronchial Pericardial Effusion Aspiration (TPEA) with a Regular EBUS Transbronchial (TBNA) Needle under Apneic Nasal Jet-Catheter Ventilation

Hohenforst-Schmidt¹,

Steinheimer²,

Rupprecht³

et al. 2016

J. Biomed

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Background: Endobronchial Ultrasound (EBUS) is a state of the art diagnostic tool for the pulmonary physicians, especially for the diagnosis and staging of lung cancer. Pericardial effusion (PE) is examined regularly when either hemodynamic impairment occurs or the ventral PE seems to be at least of 2cm distance on echocardiography. Standard approach is the anterior pericardiocentesis. PE of less than 2cm is not approached in general. Objective: We sought to examine minimal invasively PE in an earlier stage with an aspiration through a regular EBUS-TBNA needle. Due to gravitation posterior PEs are earlier detectable than anterior PEs in a patient supine. Method: Although posterior PE is a contradiction for the standard approach used by cardiologists we punctured the PE from the distal left main or proximal lower lobe bronchus. For the first time we describe our algorithm of Transbronchial PE Aspiration (TPEA) by the usage of a regular EBUS-TBNA needle aspiration controlled by C-arm and regular transthoracic ultrasound. Results: We performed TPEA in deep sedation under nasal jet-ventilation in 10 patients without any severe complications even in anterior PE smaller than 20mm for early diagnosis and in some cases even for treatment in regards to hemodynamics. For the post-puncture period of follow-up over 60 days none of these patients had to be punctured again. Conclusion: Although TPEA is an uncommon and possibly more risky approach than the regular anterior pericardiocentesis it may give a chance to interventional pulmonologists to diagnose PE earlier than achieved by anterior transthoracic ultrasound. At the same time TPEA could offer a new window to the heart for several treatment options beside an effusion retrieval. We additionally build the bridge to possible other applications in different areas in future.

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Rhodococcus equi Pericarditis in a Patient Living with HIV/AIDS

Cited by 8 publications

References 10 publications

Rhodococcus equi—Occurrence in Goats and Clinical Case Report

Rhodococcus equi—Occurrence in Goats and Clinical Case Report

A Case of Slowly Progressive Purulent Pericarditis in Elderly Healthy Woman

A New Endobronchial Ultrasound (EBUS) Application for Benign and Malignant Pericardial Effusion (PE) Aspiration: Transbronchial Pericardial Effusion Aspiration (TPEA) with a Regular EBUS Transbronchial (TBNA) Needle under Apneic Nasal Jet-Catheter Ventilation

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