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  • Title: Rhodococcus equi infection after lung transplantation.
    Author: Hayes D, Diaz-Guzman E, Hoopes CW.
    Journal: Respir Care; 2011 Oct; 56(10):1605-7. PubMed ID: 21513607.
    Abstract:
    Rhodococcus equi is an emerging opportunistic pathogen in immunocompromised patients. A lung-transplant recipient developed weight loss, nonproductive cough, dyspnea, and somnolence. Computed tomogram showed a pulmonary nodule and pleural changes in the right allograft that was due to R. equi infection. Alteration of cell-mediated immunity is a predisposing risk factor for R. equi infection in humans. Our patient developed R. equi infection soon after a course of high-dose corticosteroids for acute allograft infection and animal exposure. A course of intravenous vancomycin followed by single-agent long-term therapy with oral ciprofloxacin was successful.
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