[Cerebral abscess by Rhodococcus equi in a HIV-negative patient]. / Absceso cerebral por Rhodococcus equi en paciente no VIH.

Rhodococcus equi is an unusual cause of infection in humans. Infection in immunocompetent host is extremely rare. This report describes a case of 57 years old patient Rhodococcus brain and pulmonary infection in a patient who did not have HIV or otherwise immunocompromised (either from disease, immunosuppressive medications, or both). He was admitted in the hospital due to neurological symptoms, and diagnosed after undergoing medical tests (brain CT scan and MR) with an intracranial neoplasia. No other disorders in the physical exploration or laboratory findings, included chest X ray were found. After this, he was admitted in Intensive Care Unit due to a respiratory failure, performing CT lung that showed pulmonary nodules. An stereoataxic brain biopsy was performed due to patient worsening. Pulmonary and brain cultures isolated Rhodococcus equi both. He was treated with intravenous vancomycin, cotrimoxazole and rifampicin. Despite the mortality rate among immunocompetent patients is really uncommon, the patient died.

Absceso cerebral por Rhodococcus equi en paciente no VIH / Cerebral abscess by rhodococcues equi in not HIV patient

El Rhodococcus equi es una causa inusual de infección en los humanos. La infección en los pacientes inmunocompetentes es extremadamente rara. A continuación exponemos el caso de un paciente de 57 años con infección cerebral y pulmonar secundaria a Rhodococcus equi en ausencia de compromiso inmunitario. Inicialmente ingresado en el hospital debido a síntomas neurológicos y diagnosticado de un proceso cerebral neoplásico tras la realización de TAC y RNM. El resto de la exploración física y exploraciones complementarias fueron normales, incluyendo la Rx de tórax. Posteriormente es ingresado en la UCI debido a una insuficiencia respiratoria, por lo que se realizó TAC torácica mostrando nódulos pulmonares. Debido al empeoramiento del paciente se practicó una biopsia esteroatáxica. En los diferentes cultivos extraídos (lavado broncoalveolar, y cerebral) se aislo Rhodococcus equi. Fue tratado con vancomicina, sulfametoxazol y rifampicina intravenosas. A pesar de que la tasa de mortalidad entre los pacientes inmunocompetentes es muy infrecuente el paciente falleció

Rhodococcus equi is an unusual cause of infection in humans. Infection in immunocompetent host is extremely rare. This report describes a case of 57 years old patient Rhodococcus brain and pulmonary infection in a patient who did not have HIV or otherwise immunocompromised (either from disease, immunosuppressive medications, or both). He was admitted in the hospital due to neurological symptoms, and diagnosed after undergoing medical tests (brain CT scan and MR) with an intracranial neoplasia. No other disorders in the physical exploration or laboratory findings, included chest X ray were found. After this, he was admitted in Intensive Care Unit due to a respiratory failure, performing CT lung that showed pulmonary nodules. An stereoataxic brain biopsy was performed due to patient worsening. Pulmonary and brain cultures isolated Rhodococcus equi both. He was treated with intravenous vancomycin, cotrimoxazole and rifampicin. Despite the mortality rate among immunocompetent patients is really uncommon, the patient died

Hematoma peritoneal secundario a sangrado arterial en paciente con fractura pélvica / Peritoneal hematoma due to bleeding in patient with pelvic fracture

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