Lung abscess and empyema in a heart transplant recipient from Thailand

被引:0
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作者
Bruminhent, Jackrapong [1 ,2 ]
Lopez-Medrano, Francisco [3 ,4 ,6 ,7 ]
Patrick Pogatchnik, Brian [8 ]
Nascimento, Ellen [9 ]
Namsiripongpun, Warunyu [1 ]
Yingchoncharoen, Teerapat [2 ,10 ]
Ngodngamthaweesuk, Montien [2 ,11 ]
Sukprapruet, Araya [12 ]
Naratreekoon, Bundit [2 ,10 ]
Rodriguez-Goncer, Isabel [3 ,4 ]
Hernandez, Ana [4 ]
Polanco, Natalia [4 ]
Andres, Amado [4 ,5 ,6 ]
Maria Aguado, Jose [3 ,5 ,6 ,7 ]
Pouch, Stephanie M. [13 ]
Trindade Clemente, Wanessa [14 ]
机构
[1] Mahidol Univ, Ramathibodi Hosp, Fac Med, Dept Med,Div Infect Dis, 270 Rama VI Rd, Bangkok 10400, Thailand
[2] Mahidol Univ, Ramathibodi Hosp, Fac Med, Ramathibodi Excellence Ctr Organ Transplantat, 270 Rama VI Rd, Bangkok 10400, Thailand
[3] Univ Hosp 12 Octubre, Unit Infect Dis, Madrid, Spain
[4] Univ Hosp 12 Octubre, Dept Nephrol, Madrid, Spain
[5] Hosp 12 Octubre imas12, Inst Invest, Madrid, Spain
[6] Univ Complutense Madrid UCM, Sch Med, Dept Med, Madrid, Spain
[7] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Infecciosas CI, Madrid, Spain
[8] Stanford Univ, Sch Med, Dept Radiol, Stanford, CA 94305 USA
[9] Univ Sao Paulo, Dept Pathol, Sao Paulo, SP, Brazil
[10] Mahidol Univ, Ramathibodi Hosp, Fac Med, Dept Med,Div Cardiol, Bangkok, Thailand
[11] Mahidol Univ, Ramathibodi Hosp, Dept Surg, Div Thorac Surg, Bangkok, Thailand
[12] Mahidol Univ, Ramathibodi Hosp, Fac Med, Somdech Phra Debaratana Med Ctr, Bangkok, Thailand
[13] Emory Univ, Sch Med, Div Infect Dis, Atlanta, GA 30322 USA
[14] Fed Univ Minas Gerais UFMG, Sch Med, Dept Lab Med, Hosp Clin,Liver Transplant Grp IAG, Belo Horizonte, MG, Brazil
关键词
immunocompromised; lung abscess; lobectomy; pleural effusion; Rhodococcosis; SOLID-ORGAN; RHODOCOCCUS; INFECTION; PNEUMONIA;
D O I
10.1111/tid.13984
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The case discussed involves a 69-year-old Thai woman who underwent orthotopic heart transplantation 9 months before this event. She presented with fever without localizing signs or symptoms. However, her chest images revealed mass-like consolidation in the left upper lobe. Blood culture and lung tissue identified Rhodococcus equi. She was successfully treated with a combination of antimicrobial therapy, optimization of immunosuppressants, and surgical resection.
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页数:8
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