Rhodococcus equi lung abscess complicating Evan's syndrome treated with corticosteroid.
We report a case of Rhodococcus equi, an unusual pathogen, causing a right upper lobe lung abscess in a patient with Evan's syndrome (auto-immune haemolytic anaemia and thrombocytopenia) who was treated with high-dose corticosteroid therapy. The patient was treated successfully with clarithromycin, vancomycin, ciprofloxacin and imipenen which appear to be effective in combination for this unusual condition in which the treatment regimen has been controversial.
Tsang
K W
KW
University Department of Medicine, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong.
Lam
P S
PS
Yuen
K Y
KY
Ooi
C C
CC
Lam
W
W
Ip
M
M
D000193:Actinomycetales Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000175:diagnosis / Q000188:drug therapy; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D017809:Fatal Outcome; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy*; D009894:Opportunistic Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011239:Prednisolone / Q000627:therapeutic use*; D016929:Rhodococcus equi / Q000302:isolation & purification*; D013577:Syndrome; D013921:Thrombocytopenia / Q000175:diagnosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D011239:Prednisolone