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Immune Reconstitution Syndrome secondary to Rhodococcus equi infection in a patient with HIV and Burkitt’s lymphoma.

Immune Reconstitution Syndrome secondary to Rhodococcus equi infection in a patient with HIV and Burkitt’s lymphoma.
Author Information (click to view)

Darraj M, Fainstein R, Kasper K, Keynan Y,


Darraj M, Fainstein R, Kasper K, Keynan Y, (click to view)

Darraj M, Fainstein R, Kasper K, Keynan Y,

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Journal of infection and public health 2016 06 3010(2) 224-227 pii 10.1016/j.jiph.2016.05.001

Abstract

Immune Reconstitution Syndrome (IRIS) has been associated with a variety of infections in patients with human immunodeficiency virus (HIV). However, we are reporting the first case of IRIS secondary to Rhodococcus equi (R. equi) in a patient with HIV. We report the case of a 48-year-old male found to have HIV infection in the setting of Burkitt’s lymphoma. While on anti-retroviral therapy and chemotherapy, he had developed IRIS secondary to R. equi that manifested as a cavitating pneumonia. This report outlines the successful management of the R. equi infection with the use of a combination of antibiotics, radiographic follow up and suppressive antibiotic while on chemotherapy.

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