Le T, Cash-Goldwasser S, Tho PV, Lan NP, Campbell JI, Van Doorn HR, Lam NT, Trung NV, Trinh DT, Van Kinh N, Wertheim HF. Diagnosing Rhodococcus equi infections in a setting where tuberculosis is highly endemic: a double challenge. Journal of clinical microbiology. 2015 Apr;53(53). 1431-3. PMID: 25631800 [PubMed] PMCID: PMC4365230
Rhodococcus equi infection is increasing in regions with high HIV prevalence worldwide. The microbiological features and clinical mimicry of tuberculosis infection pose diagnostic challenges in high-tuberculosis-incidence settings. We present two HIV-associated cases of R. equi infection from Vietnam and discuss the unique diagnostic challenges in such settings.