Successful medical therapy of Rhodococcus equi pneumonia in a patient with HIV infection.

Abstract:

:A 34-year-old HIV-infected man was successfully treated with antimicrobial therapy alone for Rhodococcus equi pneumonia and has survived longer than six months. In the current literature, only two of seven HIV-infected patients so treated have survived as long as six months. Based on our experience and the available literature, it seems reasonable to treat HIV-infected patients with R equi pneumonia who do not require surgical intervention with prolonged intravenous therapy followed by long-term oral therapy with at least two effective antibiotics. The optimal choice and duration of antibiotic therapy need to be determined.

journal_name

Chest

journal_title

Chest

authors

Cury JD,Harrington PT,Hosein IK

doi

10.1378/chest.102.5.1619

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

1619-21

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)59121-1

journal_volume

102

pub_type

杂志文章

相关文献

CHEST文献大全
  • Natural history of tako-tsubo cardiomyopathy.

    abstract:BACKGROUND:Stress-induced or tako-tsubo cardiomyopathy (TTC) is a rare acute cardiac syndrome characterized by transient left ventricular (LV) dysfunction of uncertain cause and outcome. This study sought to assess the long-term outcome of patients with TTC. METHODS:One-hundred sixteen consecutive patients were prospe...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.10-1041

    authors: Parodi G,Bellandi B,Del Pace S,Barchielli A,Zampini L,Velluzzi S,Carrabba N,Gensini GF,Antoniucci D,Tuscany Registry of Tako-Tsubo Cardiomyopathy.

    更新日期:2011-04-01 00:00:00

  • Standard limb lead QRS concordance during wide QRS tachycardia. A new surface ECG sign of ventricular tachycardia.

    abstract::The differentiation of ventricular tachycardia from supraventricular conducted with aberration constitutes a perennial challenge. We report a new surface ECG clue, hitherto undescribed, the presence of which, during wide QRS tachycardia, indicates that the tachycardia in question is ventricular rather than supraventri...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.4.763

    authors: Reddy GV,Leghari RU

    更新日期:1987-10-01 00:00:00

  • Systemic artery-to-pulmonary artery fistula. A new therapeutic approach.

    abstract::A patient with systemic artery-to-pulmonary artery fistulae is described. Historically, all therapy of this type of lesion has been surgical. We describe a new mode of treatment, therapeutic embolization, which obviates surgical intervention and its attendant risks. Embolization is an alternative to surgery that shoul...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.82.6.791

    authors: Wolf DC,Wurtzbacher JJ,Horton J

    更新日期:1982-12-01 00:00:00

  • Lack of efficacy for a cervicomandibular support collar in the management of obstructive sleep apnea.

    abstract:STUDY OBJECTIVES:The effect of therapy using a cervicomandibular support collar (CMSC) to manage obstructive sleep apnea (OSA) was compared with standard therapy, nasal continuous positive airway pressure (nCPAP). DESIGN:Subjects received treatment with CMSC or nCPAP each for 1 month in random order. The study was ana...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.125.1.118

    authors: Skinner MA,Kingshott RN,Jones DR,Taylor DR

    更新日期:2004-01-01 00:00:00

  • Exhaled nitric oxide in pulmonary diseases: a comprehensive review.

    abstract::The upregulation of nitric oxide (NO) by inflammatory cytokines and mediators in central and peripheral airway sites can be monitored easily in exhaled air. It is now possible to estimate the predominant site of increased fraction of exhaled NO (FeNO) and its potential pathologic and physiologic role in various pulmon...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.09-2090

    authors: Barnes PJ,Dweik RA,Gelb AF,Gibson PG,George SC,Grasemann H,Pavord ID,Ratjen F,Silkoff PE,Taylor DR,Zamel N

    更新日期:2010-09-01 00:00:00

  • N-terminal pro-brain natriuretic peptide and renal insufficiency as predictors of mortality in pulmonary hypertension.

    abstract:BACKGROUND:N-terminal pro-brain natriuretic peptide (NT-proBNP) is a byproduct of the brain natriuretic peptide (BNP) that was shown to be of prognostic value in pulmonary hypertension (PH). The role of NT-proBNP in PH has to be determined, especially under the influence of renal impairment that might lead to an accumu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-1758

    authors: Leuchte HH,El Nounou M,Tuerpe JC,Hartmann B,Baumgartner RA,Vogeser M,Muehling O,Behr J

    更新日期:2007-02-01 00:00:00

  • Hydrochlorothiazide-induced noncardiogenic pulmonary edema: BAL fluid analysis.

    abstract::Hydrochlorothiazide (HCTZ)-induced pulmonary disease has been described as either an allergic interstitial pneumonitis or a cause of noncardiogenic pulmonary edema. The mechanism of this rare life-threatening side effect is largely unknown. Many patients show peripheral leukopenia and extensive immunologic studies rev...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-0944

    authors: Darwish OS,Criley J

    更新日期:2011-01-01 00:00:00

  • Age and Sex Disparities in Adherence to CPAP.

    abstract:BACKGROUND:CPAP effectiveness is limited by suboptimal adherence. Prior studies of adherence have focused on middle-aged men. RESEARCH QUESTION:Does CPAP adherence vary by age and sex? STUDY DESIGN AND METHODS:Telemonitoring data from a CPAP manufacturer database were used to assess adherence in patients initiating C...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.07.017

    authors: Patel SR,Bakker JP,Stitt CJ,Aloia MS,Nouraie SM

    更新日期:2021-01-01 00:00:00

  • Effects of nutritional status on exercise performance in advanced cystic fibrosis.

    abstract::Initial evaluation of 22 patients with cystic fibrosis (CF) on entry into a trial of home oxygen therapy was used to elucidate the possible effects of poor nutritional status on exercise performance in CF. The patients had advanced lung disease (mean FEV1, 36 percent predicted) and all had a stable resting PaO2 less t...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.3.375

    authors: Marcotte JE,Canny GJ,Grisdale R,Desmond K,Corey M,Zinman R,Levison H,Coates AL

    更新日期:1986-09-01 00:00:00

  • Statistical Analysis and Reporting Guidelines for CHEST.

    abstract::Considerable heterogeneity persists in the conduct and reporting of statistical analyses in the medical literature. Authors submitting manuscripts to CHEST are encouraged to adhere to the following guidelines where possible. ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2019.10.064

    authors: Kattan MW,Vickers AJ

    更新日期:2020-07-01 00:00:00

  • Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values.

    abstract:BACKGROUND:Although diaphragmatic motion is readily studied by ultrasonography, the procedure remains poorly codified. The aim of this prospective study was to determine the reference values for diaphragmatic motion as recorded by M-mode ultrasonography. METHODS:Two hundred ten healthy adult subjects (150 men, 60 wome...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-1541

    authors: Boussuges A,Gole Y,Blanc P

    更新日期:2009-02-01 00:00:00

  • Spontaneous middle lobe torsion secondary to pleural effusion.

    abstract::Pulmonary torsion is very rare, and usually occurs following lung resection. We report a case of spontaneous middle lobe torsion in a patient presenting with a right pleural effusion. The condition was treated by lobectomy through a totally thoracoscopic approach. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2373

    authors: Raynaud C,Lenoir S,Caliandro R,Raffenne L,Validire P,Gossot D

    更新日期:2009-07-01 00:00:00

  • Diagnosis of superior vena caval obstruction by transesophageal echocardiography.

    abstract::Superior vena caval (SVC) syndrome may be caused by extravascular compression or intravascular obstruction. Knowing the mechanism of SVC syndrome enables the physician to choose appropriate treatment. Transesophageal echocardiography (TEE) is a safe bedside procedure that is excellent for evaluating the SVC and its su...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.3.874

    authors: Ayala K,Chandrasekaran K,Karalis DG,Parris TM,Ross JJ Jr

    更新日期:1992-03-01 00:00:00

  • Improvement in arterial oxygenation by saralasin infusion in man.

    abstract::Simultaneous hemodynamic and blood gas measurements were performed in 26 hypertensive adults, who were cigarette smokers, before and after a 30-minute infusion of saralasin (5 microgram/kg/min) which is a highly specific competitive antagonist of angiotensin II (AII). The arterial pressure fell in nine, rose in seven ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.4.492

    authors: Mookherjee S,Obeid AI,Ashutosh K,Warner RA,Smulyan H

    更新日期:1979-04-01 00:00:00

  • Small nodules detected on chest radiography: does size predict calcification?

    abstract:STUDY OBJECTIVES:To determine whether the likelihood of lung nodule calcification can be predicted from nodule size as measured on a chest radiograph (CXR). DESIGN:Retrospective review of CXRs of patients with lung nodules < or =1 cm in size detected on CT scanning. CT images were used to identify calcifications and t...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.118.3.610

    authors: Ketai L,Malby M,Jordan K,Meholic A,Locken J

    更新日期:2000-09-01 00:00:00

  • Cardiac arrhythmias during postural drainage and chest percussion of critically ill patients.

    abstract::In this study we determine the prevalence and type of arrhythmias that occur during postural drainage and chest percussion (PDP) of critically ill patients, and identify those patients who are most at risk of developing them. We monitored the vital signs and ECGs of 72 ICU patients during their initial PDP treatment. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.6.1836

    authors: Hammon WE,Connors AF Jr,McCaffree DR

    更新日期:1992-12-01 00:00:00

  • Noninvasive evaluation of instantaneous total mechanical activity of the respiratory muscles during pressure support ventilation.

    abstract:OBJECTIVE:The measurement of esophageal pressure (Pes) is the conventional method for the evaluation of the forces applied to the respiratory system by the respiratory muscles. As an alternative to Pes measurement, we propose the calculation of the instantaneous net pressure applied by the respiratory muscles [Pmusc(t)...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.108.1.208

    authors: Iotti GA,Braschi A,Brunner JX,Palo A,Olivei MC

    更新日期:1995-07-01 00:00:00

  • Orthostatic and exercise-induced advanced nodal atrioventricular block.

    abstract::A 69-year-old woman was referred for asthenia and dizziness when walking in the last two months. No clinical abnormalities were found, and sinus rhythm was present when lying down. On orthostatism and walking, advanced AV block developed. Atropine and isoproterenol ameliorated the AV conduction abnormality, suggesting...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.3.970

    authors: Reig J,Domingo E,Reguant J,Corrons J

    更新日期:1992-09-01 00:00:00

  • A test of the practical value of estimating breath sound intensity. Breath sounds related to measured ventilatory function.

    abstract::Each of four examiners performed standardized physical examinations on a group of patients who had just undergone tests of ventilatory function. The intensity of breath sounds heard with deep inspiration was graded on a rating scale of 0 to 4; the grades in six areas of the chest were added to give a total score, with...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.70.3.341

    authors: Pardee NE,Martin CJ,Morgan EH

    更新日期:1976-09-01 00:00:00

  • Reason-Giving and Medical Futility: Contrasting Legal and Social Discourse in the United States With the United Kingdom and Ontario, Canada.

    abstract::Disputes regarding life-prolonging treatments are stressful for all parties involved. These disagreements are appropriately almost always resolved with intensive communication and negotiation. Those rare cases that are not require a resolution process that ensures fairness and due process. We describe three recent cas...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2016.05.026

    authors: Bosslet GT,Baker M,Pope TM

    更新日期:2016-09-01 00:00:00

  • Pacing induced mitral regurgitation following radiofrequency ablation of the atrioventricular conduction system: case report and potential mechanism.

    abstract::We describe a patient with hemodynamic deterioration and worsening mitral regurgitation related to right ventricular apex pacing. Time-dependent changes in papillary muscle contraction as well as ventricular remodeling by right ventricular apex pacing might be responsible for this rare but serious complication. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.6.1776

    authors: Vanderheyden M,Nellens P,Andries E,Goethals M

    更新日期:1998-12-01 00:00:00

  • Definition of cutoff values for the hypoxia test used for preflight testing in young children with neonatal chronic lung disease.

    abstract:BACKGROUND:The hypoxia test can be performed to identify potential hypoxia that might occur in an at-risk individual during air travel. In 2004, the British Thoracic Society increased the hypoxia test cutoff guideline from 85 to 90% in young children. The aim of this study was to investigate how well the cutoff values ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-1198

    authors: Martin AC,Verheggen M,Stick SM,Stavreska V,Oostryck J,Wilson AC,Hall GL

    更新日期:2008-04-01 00:00:00

  • Modification of the effect of fiberoptic bronchoscopy on pulmonary mechanics.

    abstract::Thirty-three patients who were to undergo diagnostic fiberoptic bronchoscopy were studied. Pulmonary function tests were performed before the procedure, after topical lidocaine anesthesia, and immediately and four hours after bronchoscopy. Nine patients received aerosolized isoproterenol (Isuprel) before the topical a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.5.516

    authors: Belen J,Neuhaus A,Markowitz D,Rotman HH

    更新日期:1981-05-01 00:00:00

  • Ultrafiltration in moderate heart failure. Exercise oxygen uptake as a predictor of the clinical benefits.

    abstract:OBJECTIVE:Ultrafiltration (UF) can improve the exercise performance of patients with moderate congestive heart failure (CHF). Our aim was to define the starting levels of performance below which UF is beneficial. PATIENTS AND METHOD:We studied 26 patients in 2 to 3 NYHA class, whose clinical condition was stable, left...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.1.94

    authors: Marenzi GC,Lauri G,Guazzi M,Perego GB,Agostoni PG

    更新日期:1995-07-01 00:00:00

  • Bronchiolitis obliterans and Nocardia asteroides infection of the lung.

    abstract::This report describes a patient with right lower lung (RLL) pneumonia of a subacute nature. Sputum and bronchial washings both grew N asteroides. Open lung biopsy showed bronchiolitis obliterans. Both the clinical and radiologic picture dramatically improved during three weeks of treatment with trimethoprim and sulfam...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.6.1107

    authors: Camp M,Mehta JB,Whitson M

    更新日期:1987-12-01 00:00:00

  • Right upper lobe pulmonary edema caused by acute mitral regurgitation. Diagnosis by transesophageal echocardiography.

    abstract::Unilateral pulmonary edema is a distinctly unusual clinical entity, often misdiagnosed initially as one of the more common causes of focal lung disease. Predominantly lobar pulmonary edema is rarer still. We report a case of right upper lobe pulmonary edema caused by the acute onset of severe mitral regurgitation. In ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.4.1286

    authors: Roach JM,Stajduhar KC,Torrington KG

    更新日期:1993-04-01 00:00:00

  • Lung mechanics and gas exchange during exercise in pulmonary sarcoidosis.

    abstract::To clarify how lung function at exercise is affected in sarcoidosis, and to analyze how exercise studies compare to testing measurements, 63 patients with pulmonary sarcoidosis were examined with lung mechanics and arterial blood gases during exercise. These findings were compared with simultaneously obtained, but pre...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.99.3.572

    authors: Brådvik I,Wollmer P,Blom-Bülow B,Albrechtsson U,Jonson B

    更新日期:1991-03-01 00:00:00

  • Increasing doses of inhaled corticosteroids compared to adding long-acting inhaled beta2-agonists in achieving asthma control.

    abstract:BACKGROUND:Combination therapy with inhaled corticosteroids (ICSs) and long-acting beta(2)-agonists (LABAs), or treatment with high doses of ICSs alone improves asthma control when therapy with low-dose ICSs is not sufficient. However, it is not known which of these treatment options is more effective in sustaining ast...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.08-1018

    authors: O'Byrne PM,Naya IP,Kallen A,Postma DS,Barnes PJ

    更新日期:2008-12-01 00:00:00

  • Variation in Patient Smoking Cessation Rates Among Health-Care Providers: An Observational Study.

    abstract:BACKGROUND:Physicians play a crucial role in providing smoking cessation counseling and medications. However, it is unknown whether individual physicians' approaches affect whether patients quit. RESEARCH QUESTION:This study assessed patient quit rates within a national quality-improvement learning collaborative to do...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.05.599

    authors: Almaaitah S,Ciemins EL,Joshi V,Arora A,Meskow C,Rothberg MB

    更新日期:2020-11-01 00:00:00

  • Severe right ventricular outflow tract obstruction caused by an intracavitary cardiac neurilemoma: succesful surgical removal and postoperative diagnosis.

    abstract::A 32-year-old woman with a one-year history of progressive shortness of breath and chest pain was found to have a grade 4/6 systolic murmur at the base of the heart and left sternal border. Right ventricular enlargement was found by physical examination, ECG, and chest roentgenogram. Cardiac catheterization showed ele...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.4.522

    authors: Betancourt B,Defendini EA,Johnson C,De Jesús M,Pavía-Villamil A,Díaz Cruz A,Medina JC

    更新日期:1979-04-01 00:00:00