Persistent R hodococcus equi infection in a renal transplant patient: case report and review of the literature

R hodococcus equi is a pathogen that mainly causes infection in immunocompromised hosts. We report a case of relapsing R . equi pulmonary infection in a 57‐year‐old male renal transplant recipient who was treated with 12 months of antibiotics, adjunctive surgery, and a reduction in his immunosuppres...

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Bibliographic Details
Published in:Transplant infectious disease 2012-12, Vol.14 (6)
Main Authors: Menon, V., Gottlieb, T., Gallagher, M., Cheong, E.L.
Format: Article
Language:English
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Summary:R hodococcus equi is a pathogen that mainly causes infection in immunocompromised hosts. We report a case of relapsing R . equi pulmonary infection in a 57‐year‐old male renal transplant recipient who was treated with 12 months of antibiotics, adjunctive surgery, and a reduction in his immunosuppression. He suffered from relapsing disease, treatment‐related complications, and ultimately died of P neumocystis pneumonia. Case reports in the literature portray a good cure rate for transplant‐related R . equi infections, with shorter durations of antibiotics. The case illustrates the difficulties in the management of R . equi infections. Forty cases from the literature were reviewed and compared in terms of epidemiology, location of infection, transplant type, immunosuppression used, treatment used, outcomes, and possible exposures.
ISSN:1398-2273
1399-3062
DOI:10.1111/tid.12008