e-ISSN 2147-2475
Cilt : 12 Say : 1 Yl : 2023

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Bbrek Nakil Alcs Olan Bir Hastada Rhodococcus equi likili Bakteriyemi ve Kaviter Akcier Lezyonu: Nadir Bir Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2022; 11(3): 132-137 | DOI: 10.5505/respircase.2022.54366

Bbrek Nakil Alcs Olan Bir Hastada Rhodococcus equi likili Bakteriyemi ve Kaviter Akcier Lezyonu: Nadir Bir Olgu Sunumu

Furkan Kangl1, Handan Kangl2, Hadice Selimolu en1, Sreyya Ylmaz1, Nurullah Uzuner2
1Dicle niversitesi Tp Fakltesi Gs Hastalklar Anabilim Dal, Diyarbakr
2Dicle niversitesi Tp Fakltesi Mikrobiyoloji Hastalklar Anabilim Dal, Diyarbakr

Rhodococcus equi is HIV pozitif ve organ nakil alcs olan immunspresif hastalarda zellikle tberkloz ile sklkla karan kaviter akcier infeksiyonuna neden olan nadir bir etkendir. Altm dokuz yanda bbrek transplant alcs ve immnspresif tedavi alan erkek hasta 6 aydr devam eden kilo kayb, ksrk ve hemoptizi semptomlar olmas zerine d merkeze bavurmu. ekilen bilgisayarl tomografide sol akcier alt lob st segmentte kavite saptanm. Malignite dnlmesi zerine PET-CT ekilmi ve yksek SUV-max tutulumu tespit edilmi. Hasta hastanemize bavurduunda mevcut ikayetleri devam etmekteydi. Alnan Bronkoalveolar Lavaj kltrnde ve kan kltrlerinde R. equi remesi oldu. Hasta entbe edilerek mekanik ventilatr ile takip edildi. Kontrol ETA (endotrakeal aspirat) kltrnde A. baumannii remesi oldu. Bunun zerine tedaviye kolistin de eklendi. Hasta tedavisinin 23. gnnde kolistine bal nefrotoksisite nedeniyle exitus oldu. Bildiimiz kadaryla bu olgu lkemizde R. equi kaviter pnmonisinin R. equi bakteriyemisi ile birlikte grld ilk olgudur.

Anahtar Kelimeler: Rhodococcus equi, Bakl basklanm konak, Kaviter akcier lezyonu

Rhodococcus equi Related Bacteremia and Cavitary Lung Lesion in a Patient Receiving Renal Transplant: A Rare Case Report

Furkan Kangl1, Handan Kangl2, Hadice Selimolu en1, Sreyya Ylmaz1, Nurullah Uzuner2
1Department of Pulmonary Diseases, Faculty of Medicine, Dicle University, Diyarbakr, Trkiye
2Department of Medical Microbiology, Faculty of Medicine, Dicle University, Diyarbakr, Trkiye

Rhodococcus equi is a rare cause of cavitary lung infection that is often mistaken for tuberculosis in immunosuppressed patients who are HIV positive and in organ transplant recipients. A 69-year-old male kidney transplant patient was admitted to an external healthcare center with complaints of weight loss, cough and hemoptysis that had started 6 months earlier. A computed tomography revealed a cavity in the upper segment of the left lung lower lobe, and a PET-CT revealed a high SUV-max uptake. Upon application to our hospital, the same symptoms were identified, along with R. equi growth observed in Bronchoalveolar Lavage and blood cultures. The patient was followed up with mechanical ventilator as intubated. Acinetobacter baumannii grew in the control ETA (endotracheal aspirate) culture on the 6th day of hospitalization, and he died subsequently on the 23rd day of hospitalization from colistin-induced nephrotoxicity. To the best of our knowledge this is the first case in which R. equi cavitary pneumonia has been seen together with R. equi bacteremia in our country.

Keywords: Rhodococcus equi, Immunocompromised host, Cavitary lung lesion

Olgunun Grnt Kesitleri




Furkan Kangl, Handan Kangl, Hadice Selimolu en, Sreyya Ylmaz, Nurullah Uzuner. Rhodococcus equi Related Bacteremia and Cavitary Lung Lesion in a Patient Receiving Renal Transplant: A Rare Case Report. Respir Case Rep. 2022; 11(3): 132-137

Sorumlu Yazar: Furkan Kangl, Trkiye
Makale Dili: ngilizce
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