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Acute mediastinitis due toRhodococcus equi in a patient with human immunodeficiency virus infection

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Abstract

A patient with human immunodeficiency virus infection developed anterior mediastinitis during antibiotic treatment for empyema due toRhodococcus 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 ofRhodococcus equi was susceptible in vitro, the patient experienced relapse of the infection into the mediastinum. Clinicians should consider this complication whenRhodococcus equi is present in pleural effusions.

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Casado, J.L., Antela, A., Sanchez, J.A. et al. Acute mediastinitis due toRhodococcus equi in a patient with human immunodeficiency virus infection. Eur. J. Clin. Microbiol. Infect. Dis. 16, 241–244 (1997). https://doi.org/10.1007/BF01709589

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