Rhodococcus equi Follow-up

Updated: Apr 13, 2015
  • Author: Indira Kedlaya, MD; Chief Editor: Burke A Cunha, MD  more...
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Follow-up

Further Outpatient Care

Ensure compliance with antibiotics.

Monitor for resolution. Antibiotics can be discontinued after complete resolution is achieved.

Watch for relapse, especially in patients infected with HIV.

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Further Inpatient Care

Patients with R equi infection should be monitored for clinical improvement following treatment. Repeat imaging may be necessary. Any pleural effusion that develops may require drainage.

Provide follow-up care for adverse effects of antibiotics and drug interactions, especially in patients infected with HIV who are on antiretroviral medications.

Provide good supportive care.

Consider outpatient management once improvement with antibiotics is observed.

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Inpatient & Outpatient Medications

See the list below:

  • Outpatient continuation of antibiotics
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Deterrence/Prevention

Patients, especially those who are immunocompromised, should exercise caution in contact with farm animals. This especially is true on dry windy days.

Implement good hygienic measures when eating fresh farm vegetables.

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Prognosis

In general, the prognosis of R equi infection depends on the underlying immunosuppressive conditions and other concurrent infections. Early diagnosis and treatment may prevent chronicity and relapses.

Prognosis is favorable in most local R equi infections and among immunocompetent children.

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