Rhodococcus equi Bacteremic Pneumonia in a Kidney Transplant Patient-A Case Report and Literature Review

腎移植病患感染馬紅球菌之菌血症及肺炎－病例報告及文獻回顧

陳威志(Wei-Chih Chen) ； 余文光(Wen-Kuang Yu)

《胸腔醫學》 26卷5期 (2011/10) Pp. 294-301

https://doi.org/10.29806/TM.201110.0008

摘要

在臟器器官移植病患發現馬紅球菌感染有增加的情形。最常診斷出感染的部位包含肺炎及菌血症。臨床的懷疑和及時的診斷對於處置是非常重要的。我們提出一位54歲男性病患在接受腎移植後罹患馬紅球菌之菌血症及肺炎。在成功使用合併抗生素包括imipenem、teicoplanin、erythromycin和levofloxacin治療以及外科手術後，病人身體狀況恢復並且順利出院。

關鍵字

免疫不全宿主 ； 腎移植 ； 馬紅球菌 ； 肺炎 ； 胸腔外科手術

並列摘要

Rhodococcus equi (R. equi) infection is increasingly recognized in solid organ transplant patients. Pneumonia and blood stream infection are the 2 most common diagnoses. Clinical suspicion and a timely diagnosis are paramount for management. We report the case of a 54-year-old male with R. equi bacteremic pneumonia after kidney transplantation. Following successful treatment with combined antibiotics, including imipenem, teicoplanin, erythromycin and levofloxacin, along with surgical intervention, the patient recovered and was discharged uneventfully.

並列關鍵字

immunocompromised host ； kidney transplant ； Rhodococcus equi ； pneumonia ； thoracic Surgery