Rhodococcus equi, first case report of disseminated disease in Peru

Patrón-Ordóñez G.; Risco-Rebaza J.C. · Revista Chilena de Infectologia (2020) · DOI: 10.4067/s0716-10182020000500610

Resumen

We present the case of a patient with human immunodeficiency virus (HIV) with a LTCD4 + 49 cells/mm3, who was admitted due to a seven-month period of weight loss, abdominal pain, chronic diarr-hea and rubbery skin lesions. Myeloculture and blood cultures were positive for Rhodococcus equi. In addition, histological lesions in the skin and intestine compatible with this agent were observed, such as malacoplachy, granulomatous reaction and Michaelis-Gutmann bo-dies. Pulmonary involvement was ruled out by chest tomography. The patient received antibacterial therapy combined with clarithromycin, imipenem, and vancomycin. Despite the treatment, the patient evolved unfavorably and died.

Instituciones: Universidad Nacional Mayor de San Marcos; Universidad Ricardo Palma