Delayed but Salvaged: Rhodococcus Lung Abscess in a Patient With Undiagnosed HIV/AIDS

24 February 2026 : Case report Pakistan

Mistake in diagnosis, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Tuzahira Arshad Wali

^{BDEF 1*}, Humaira Shafi

^{BDEF 2}

DOI: 10.12659/AJCR.951229

Am J Case Rep 2026; 27:e951229

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Table 4 Reported cases of Rhodococcus infection from Pakistan.

	Case 1 [4]	Case 2 [5]	Case 3 [6]
Age/sex	45/M	42/M	19/M
Risk factor	Immunocompetent	Renal transplant	Renal transplant
Exposure	Gem minor	Gardening and frequent handling of manure	Contact with domesticated buffalos and cows
Diagnosis	Rhodococcus induced anterior mediastinal mass	brain abscess	pneumonia
Culture	Pericardial fluid: spp.	Pus culture:	Blood cultures, bronchoalveolar lavage:
Treatment	Pericardial window, VATSAntibiotics: MEM, LZDDuration: NR^a	Surgical drainagAntibiotics: VAN, AMK, MOX, RIF, MINODuration: 8–9 months^e	Antibiotics: CFX, VAN, IPM, LEV, CTMOther antimicrobials: AMB, GCVDuration: approx.. 3 weeks^j
Outcome	Survival	Survival	Death
^a Video-assisted thoracoscopy; ^b meropenem; ^c linezolid; ^d not reported; ^e vancomycin; ^F amikacin; ^g moxifloxacin; ^h rifampin; ⁱ minocycline; ^j ceftriaxone; ^k imipenem-cilastatin; ^l levofloxacin; ^m trimethoprim/sulfamethoxazole; ⁿ amphotericin B deoxycholate; ^o 4ganciclovir.

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