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Diagnosing Rhodococcus equi infections in a setting where tuberculosis is highly endemic: a double challenge
Thuy Le1, Shama Cash-Goldwasser2, Phan Vinh Tho3
1Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Program, Ho Chi Minh City, Vietnam Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom Hawaii Center for AIDS, University of Hawaii at Manoa, Honolulu, Hawaii, USA thuyl@oucru.org.
Abstract:
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.
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