Lung abscess and empyema in a heart transplant recipient from Thailand

The case discussed involves a 69‐year‐old Thai woman who underwent orthotopic heart transplantation 9 months before this event. She presented with fever without localizing signs or symptoms. However, her chest images revealed mass‐like consolidation in the left upper lobe. Blood culture and lung tis...

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Bibliographic Details
Published in:Transplant infectious disease 2023-02, Vol.25 (1), p.e13984-n/a
Main Authors: Bruminhent, Jackrapong, López‐Medrano, Francisco, Pogatchnik, Brian Patrick, Nascimento, Ellen, Namsiripongpun, Warunyu, Yingchoncharoen, Teerapat, Ngodngamthaweesuk, Montien, Sukprapruet, Araya, Naratreekoon, Bundit, Rodriguez‐Goncer, Isabel, Hernández, Ana, Polanco, Natalia, Andrés, Amado, Aguado, José María, Pouch, Stephanie M., Clemente, Wanessa Trindade
Format: Article
Language:English
Subjects:
Aged
Antiinfectives and antibacterials
Blood culture
Empyema
Female
Heart Transplantation
Humans
immunocompromised
Immunosuppressive agents
lobectomy
Lung
Lung Abscess
Lungs
Optimization
pleural effusion
Rhodococcosis
Rhodococcus equi
Signs and symptoms
Thailand
Tissue culture
Transplantation
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Summary:The case discussed involves a 69‐year‐old Thai woman who underwent orthotopic heart transplantation 9 months before this event. She presented with fever without localizing signs or symptoms. However, her chest images revealed mass‐like consolidation in the left upper lobe. Blood culture and lung tissue identified Rhodococcus equi. She was successfully treated with a combination of antimicrobial therapy, optimization of immunosuppressants, and surgical resection.
ISSN:1398-2273
1399-3062
DOI:10.1111/tid.13984