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Pulmonary Malacoplakia Associated With Rhodococcus equi Infection in a Patient With AIDS*

Myung Soo Shin, MD, FCCP; J. Allen D. Cooper, Jr., MD, FCCP; Kang-Jey Ho, MD, PhD
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*From the Departments of Radiology (Dr. Shin), Pulmonary Medicine (Dr. Cooper), and Pathology (Dr. Ho), University of Alabama School of Medicine, Birmingham, AL.



Chest. 1999;115(3):889-892. doi:10.1378/chest.115.3.889
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An AIDS patient with a cavitary lung lesion was found to have pulmonary malacoplakia associated with Rhodococcus equi infection. The diagnosis was based on the typical histologic features of transbronchial biopsy and a positive bacterial culture. All 13 reported cases of AIDS patients with pulmonary malacoplakia were associated with R equi. The recognition of this unique entity is important because of its responsiveness to therapy.

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