Rhodococcus equi pericarditis in a patient living with HIV/AIDS

Praveen Gundelly, Alice Thornton, Richard N. Greenberg, Malkanthie Mccormick, Thein Myint

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Introduction: Rhodococcus equi, previously called Corynebacterium equi, is known to cause pneumonia in foals and swine. Although it was known to cause infection rarely in humans, R equi infection in humans has increased with the advent of HIV and increased use of immunosuppressants. Case: We report a case of a 48-year-old male patient with newly diagnosed HIV/AIDS presenting with recurrent R equi bacteremia, pericardial effusion, and pericardial cyst. The infection was treated with drainage of the pericardial effusion and cyst and 2 weeks of intravenous vancomycin and 6 months of oral azithromycin and levofloxacin. Discussion: Rhodococcus equi causes pericarditis and pericardial effusion. It can be effectively treated with debridement, drainage, and a prolonged course of antibiotics. In vitro antibiotic susceptibility should be checked as resistance to antibiotics can develop, especially if drainage is inadequate.

Original languageEnglish
Pages (from-to)309-312
Number of pages4
JournalJournal of the International Association of Providers of AIDS Care
Issue number4
StatePublished - 2014


  • Pericarditis
  • Rhodococcus equi

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases


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