Unusual Extrapulmonary Rhodococcus Equi Infection in a Kidney Transplant Patient.
Rhodococcus equi is a well-recognized pathogen in veterinary medicine that can also affect immuno-compromised human subjects. The most common clinical features in humans include necrotizing pneumonia with subacute pulmonary disease, progressive cough, chest pain and fever. We report a case of a 49-year-old kidney transplant patient who developed a Rhodococcus equi infection characterized by multiple abscesses of the soft tissues and muscles without any respiratory manifestation. Combining specific antibiotic therapy and surgical management of the abscesses without immunosuppression discontinuation led to a complete recovery of both patient and graft.
From the General Surgery and Kidney Transplantation Unit, IRCCS San Martino University Hospital-IST National Institute for Cancer Research, Genoa, Italy.
Giovanni
G
Varotti
Caterina
C
Barabani
Ferdinando
F
Dodi
Massimo
M
Bertocchi
Rosalia
R
Mondello
Pierpaolo
P
Cupo
Gregorio
G
Santori
Domenico
D
Palombo
Iris
I
Fontana
D000038:Abscess; D000193:Actinomycetales Infections / Q000150:complications* / Q000503:physiopathology; D006085:Graft Survival; D006801:Humans; D007167:Immunotherapy; D007674:Kidney Diseases / Q000150:complications* / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects; D008875:Middle Aged; D016929:Rhodococcus equi; D018461:Soft Tissue Infections / Q000150:complications / Q000503:physiopathology