一名人类免疫缺陷病毒感染患者因马红球菌感染引发急性纵隔炎。

Acute mediastinitis due to Rhodococcus equi in a patient with human immunodeficiency virus infection.

作者信息

Casado J L, Antela A, Sanchez J A, Hermida J M, Meseguer M

机构信息

Infectious Diseases Unit, Hospital Ramón y Cajal, Madrid, Spain.

出版信息

Eur J Clin Microbiol Infect Dis. 1997 Mar;16(3):241-4. doi: 10.1007/BF01709589.

DOI:10.1007/BF01709589

PMID:9131329

Abstract

A patient with human immunodeficiency virus infection developed anterior mediastinitis during antibiotic treatment for empyema due to Rhodococcus equi. This is the first reported case of infection with this organism in this setting. Despite an adequate course of therapy and maintenance treatment with antibiotics to which the isolate of Rhodococcus equi was susceptible in vitro, the patient experienced relapse of the infection into the mediastinum. Clinicians should consider this complication when Rhodococcus equi is present in pleural effusions.

摘要

一名感染人类免疫缺陷病毒的患者在因马红球菌引起的脓胸接受抗生素治疗期间发生了前纵隔炎。这是该情况下首次报道的这种微生物感染病例。尽管给予了足够疗程的治疗以及使用了该马红球菌分离株在体外敏感的抗生素进行维持治疗，但患者的纵隔感染仍复发。当胸腔积液中存在马红球菌时，临床医生应考虑到这种并发症。