{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:30:52Z","timestamp":1753921852900},"reference-count":0,"publisher":"National Library of Serbia","issue":"3","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Introduction. Rhodococcus (R) equi is an opportunistic, uncommon human\n   pathogen that causes mainly infection in immunocompromised hosts. The disease\n   is usually presented as subacute pneumonia that is mostly cavitary and\n   sometimes bacteremic. Case report. We reported the extremly rare case of a\n   43-year-old woman with Hodgkin's lymphoma, who developed R. equi pulmonary\n   infection after recieving multiple courses of chemotherapy. Secondary, the\n   patient developed bacteremia, leading to sepsis and dissemination of R. equi\n   infection in many extrapulmonary sites. At addmission the patient was\n   febrile, tachypnoic, tachycardic, hypotensive, with facial edema,\n   splenomegaly, positive meningeal signs, left hemiparesis and paraparesis.\n   Laboratory data included erythrocyte sedimentation rate (ESR) &gt; 140 mm\/h,\n   C-reactive protein (CRP) 143.0 mg\/L, red blood cells (RBC) 2.14 ? 1012\/L,\n   whyite blood cells (WBC) 2.8 ? 109\/L, lactate dehydrogenase (LDH) 706 U\/L,\n   serum albumin 26 g\/L, sodium 127 mmol\/L and potassium 2.7 mmol\/L. Blood\n   culture and culture of sputum and empyema were positive for R. equi. Imaging\n   studies demonstrated a large right cavitary pneumonia and abscess, empyema,\n   pericarditis, mediastinal and intra-abdominal lymphadenopathy, brain and\n   psoas abscesses, osteomyelitis and spondylodiscitis. The patient recovered\n   completely after a 12-month treatment with combinations of parenteral and\n   oral antibiotics (meropenem, vancomycin, teicoplanin, ciprofloxacin,\n   rifampicin, macrolides etc), including drainage of abscesses and empyema.\n   Eight years after completition of the treatment the patient was without\n   recurrence of R. equi infection and lymphoma. Conclusion. Since the\n   eradication od R. equi is very difficult, it is very important to make the\n   diagnosis and initiate appropriate antibiotic therapy as soon as possible.<\/jats:p>","DOI":"10.2298\/vsp121218035m","type":"journal-article","created":{"date-parts":[[2013,7,31]],"date-time":"2013-07-31T12:33:28Z","timestamp":1375274008000},"page":"317-324","source":"Crossref","is-referenced-by-count":6,"title":["Disseminated Rhodococcus equi infection in a patient with Hodgkin\u2019s lymphoma"],"prefix":"10.2298","volume":"71","author":[{"given":"Dragan","family":"Mikic","sequence":"first","affiliation":[{"name":"Military Medical Academy, Clinic for Infectious and Tropical Diseases, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoran","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Institute for Radiology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav","family":"Kojic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Infectious and Tropical Diseases, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branka","family":"Tomanovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Institute for Microbiology, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:12:00Z","timestamp":1685358720000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501300035M"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp121218035m","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"value":"0042-8450","type":"print"},{"value":"2406-0720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}