Abstract
We report a case of disseminated infection by Rhodococcus equi as the inaugural manifestation of idiopathic T-CD4+ lymphopenia. We aim to demonstrate our diagnostic and therapeutic approach and focus on the major dilemmas arising from the lack of scientific evidence regarding best clinical practice of this infection in humans.
Keywords:
Idiopathic CD4(+) lymphopenia; Rhodococus equi.
Copyright © 2020 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Actinomycetales Infections / complications
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Actinomycetales Infections / diagnosis
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Actinomycetales Infections / microbiology*
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Actinomycetales Infections / pathology
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Administration, Intravenous
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Aged
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Antibiotics, Antitubercular / administration & dosage
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Antibiotics, Antitubercular / therapeutic use
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Biopsy, Needle / methods
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Bronchoalveolar Lavage / methods
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Bronchoscopy / methods
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CD4-Positive T-Lymphocytes
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Cough / diagnosis
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Cough / etiology
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Drug Therapy, Combination
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Emergency Service, Hospital
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Fever / diagnosis
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Fever / etiology
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Humans
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Levofloxacin / administration & dosage
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Levofloxacin / therapeutic use
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Lymphopenia / diagnosis*
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Lymphopenia / etiology
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Male
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Pneumonia, Necrotizing / diagnosis*
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Pneumonia, Necrotizing / drug therapy
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Pneumonia, Necrotizing / etiology
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Rhodococcus equi / isolation & purification*
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Rifampin / administration & dosage
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Rifampin / therapeutic use
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Tomography, X-Ray Computed / methods
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Antibiotics, Antitubercular
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Levofloxacin
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Rifampin