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Table 1 Summary of main clinical, laboratory and imaging findings from patient 1

From: Disseminated rhodococcus equi infection in HIV infection despite highly active antiretroviral therapy

Onset of symptoms (date)

Presenting symptoms

Site of R. equi infection (diagnostic technique)

CD 4 + cells, HIV-1 RNA (VL)

HAART

Treatment

Duration

April 2002

fever, cough

lung (culture of sputum, chest X-ray). disseminated infection (blood culture)

123 cells/μl, VL < 50 copies/ml

didanosine, lamivudine, indinavir

induction (i.v.): vancomycin 500 mg q6h imipenem 500 mg q6h ceftriaxone 2 g qd ciprofloxacin 400 mg bid maintanance (p.o.): ciprofloxacin 500 mg bid

induction: 8 weeks maintanance:15 weeks

May 2002

seizures

head (brain MRI, culture of surgically removed brain abscess)

 

didanosine, lamivudine,indinavir

surgery, antibiotic therapy (see above)

 

December 2002

anisocoria, right hemiparesis, hypoaesthesia, hypoallaesthesia, dysmetria

CNS (brain MRI)

143 cells/μl, VL < 50 copies/ml

didanosine, lamivudine, indinavir

i.v.: ciprofloxacin 400 mg tid vancomycin 500 mg q6h ceftriaxone 2 g qd

3 weeks

  1. Notes. VL viral load; i.v. intravenous; p.o. per os; CNS central nervous system; MRI magnetic resonance imaging