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Titolo:
RADIOLOGIC FEATURES OF RHODOCOCCUS-EQUI PNEUMONIA IN AIDS
Autore:
MUNTANER L; LEYES M; PAYERAS A; HERRERA M; GUTIERREZ A;
Indirizzi:
AVDA ALEJANDRO ROSELLO 27 PALMA DE MALLORCA 07002 SPAIN SON DURETA UNIV HOSP,DEPT RADIOL PALMA DE MALLORCA SPAIN
Titolo Testata:
European journal of radiology
fascicolo: 1, volume: 24, anno: 1997,
pagine: 66 - 70
SICI:
0720-048X(1997)24:1<66:RFORPI>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; HIV-POSITIVE PATIENT; CORYNEBACTERIUM-EQUI; OPPORTUNISTIC PATHOGEN; IMIPENEM VANCOMYCIN; PULMONARY INFECTION; CAVITARY PNEUMONIA; LUNG ABSCESS; MALACOPLAKIA;
Keywords:
ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS); RHODOCOCCUS EQUI; LUNG INFECTION; PLEURAL EFFUSION; PERICARDIAL EFFUSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
44
Recensione:
Indirizzi per estratti:
Citazione:
L. Muntaner et al., "RADIOLOGIC FEATURES OF RHODOCOCCUS-EQUI PNEUMONIA IN AIDS", European journal of radiology, 24(1), 1997, pp. 66-70

Abstract

This report outlines the radiological features observed in three cases of Rhodococcus equi (R. equi) pneumonia in AIDS (acquired immunodeficiency syndrome) and reviews another 45 radiological reports publishedof this emerging opportunistic pneumonia in Human Immunodeficiency Virus (HIV) infected patients, The clinical signs in our three patients consisted in a subacute onset of respiratory symptoms and fever. A lowlymphocyte count (<200 cells/mm(3)), pulmonary infiltrates, and pleural effusion was present in all three cases. Cavitary pneumonia was observed in two patients, and pericardial effusion in another, In this series CD4 lymphocyte count <200/mm(3) was seen in 29 of the 48 patients(60.4%). All 48 patients had abnormal findings on chest radiogrpahs. Abnormalities involved the upper lobes in 26 of the 48 patients (55%). Cavitation was reported in 37 of the 48 cases (77%). it equi pneumonia may not be as rare as the paucity of case reports suggest. Consequently, a cavitary pneumonia in HIV infected patients with a low CD4 lymphocyte count (<200 mm(3)) with a subacute onset, an upper lobe predilection, and/or a poor response to conventional antibiotic therapy should be considered as suspect of R. equi infection.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 05:10:34