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Volume 65, Issue 4, Pages 427-430 (December 2009)


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Disseminated Rhodococcus equi infection in a kidney transplant patient without initial pulmonary involvement

Janette C. Rahamat-LangendoenaCorresponding Author Informationemail address, Matijs van Meursb, Jan G. Zijlstrab, Jerome R. Lo-Ten-Foea

Received 24 April 2009; accepted 8 August 2009. published online 17 September 2009.

Refers to erratum:
Erratum to “Disseminated Rhodococcus equi infection in a kidney transplant patient without initial pulmonary involvement” [Diagn Microbiol Infect Dis 2009 Dec;65(4):427–30]
Janette C. Rahamat-Langendoen, Matijs van Meurs, Jan G. Zijlstra, Jerome R. Lo-Ten-Foe
Diagnostic Microbiology & Infectious Disease
August 2010 (Vol. 67, Issue 4, Page 406)
Full Text | Full-Text PDF (84 KB)

Abstract 

Rhodococcus equi is increasingly recognized as an opportunistic pathogen in solid organ transplant recipients. Primary pulmonary involvement is the most common finding. We report a case of a 42-year-old female kidney transplant recipient who developed multiple disseminated abscesses caused by R. equi while on adequate antimicrobial therapy. The patient presented with subcutaneous abscesses in the hip region and mamma and had 2 intracerebral abscesses. There were no clinical and radiologic signs of pulmonary involvement in contrast to most clinical cases described in the literature. R. equi was cultured from all abscesses. The patient died of progressive neurologic complications. Post mortem examination confirmed infection with R. equi and showed microscopic evidence of necrotizing pneumonia. This report shows that R. equi should be considered as a cause of infection in solid organ transplant recipients even without initial clinical and radiologic signs of pulmonary involvement. Despite adequate therapy, the outcome can be fatal.

a Department of Medical Microbiology, University Medical Centre Groningen, Groningen University, PO Box 30 001, 3700 RB, Groningen, The Netherlands

b Department of Critical Care, University Medical Centre Groningen, Groningen University, PO Box 30 001, 3700 RB Groningen, The Netherlands

Corresponding Author InformationCorresponding author. Tel.: +31-50-36-13480; fax: +31-50-36-33-528.

PII: S0732-8893(09)00333-2

doi:10.1016/j.diagmicrobio.2009.08.004


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