Brief Tale of a Bacteraemia by Rhodococcus equi, With Concomitant Lung Mass: What Came First, the Chicken or The Egg?
2011

Bacteraemia by Rhodococcus equi in a Lymphoma Patient

Sample size: 1 publication Evidence: low

Author Information

Author(s): Savini Vincenzo, Salutari Prassede, Sborgia Marco, Mancini Iole, Masciarelli Gioviana, Catavitello Chiara, Astolfi Daniela, D’Amario Claudio, Fioritoni Giuseppe, Spadaro Antonio, D’Antonio Domenico

Primary Institution: Spirito Santo Hospital, Pescara, Italy

Hypothesis

What came first, the chicken or the egg regarding the source of infection?

Conclusion

The study highlights the emergence of Rhodococcus equi as a significant pathogen in immunocompromised patients.

Supporting Evidence

  • Rhodococcus equi is a rare pathogen that can cause severe infections in immunocompromised patients.
  • The patient had no known contact with animals, making the source of infection unclear.
  • Antibiotic susceptibility testing revealed resistance to several common antibiotics.

Takeaway

This study is about a sick man who got an infection from a rare germ called Rhodococcus equi, which is usually found in animals. Doctors had a hard time figuring out how he got it.

Methodology

The case report involved blood cultures, smear staining, and antibiotic susceptibility testing.

Potential Biases

Potential misidentification of the pathogen due to reliance on automated methods.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 54-year-old male with refractory non-Hodgkin lymphoma.

Digital Object Identifier (DOI)

10.4084/MJHID.2011.006

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