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Case Report
 
Disseminated Rhodococcus rhodochrous infection in an immunocompromised patient
Setu Patolia1, Eneh Kennedy1, Zahir Mehjabin1, Neerja Gulati1, Swati Patolia1, Dharani Narendra1, Rakesh Vade1, Saurav Pokharel1, Frances Schmidt1, Joseph Quist1, Danilo Enriquez1
1MD, Interfaith Medical Center, Brooklyn, NY.

doi:10.5348/ijcri-2014-02-456-CR-8

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Setu Patolia
1545 Atlantic Avenue
Brooklyn, NY 11238
USA
Phone: 718 613 4061
Fax: 718 613 4893
Email: patoliasetu@gmail.com

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How to cite this article:
Patolia S, Kennedy E, Mehjabin Z, Gulati N, Patolia S, Narendra D, Vadde R, Pokharel S, Schmidt F, Quist J, Enriquez D. Disseminated Rhodococcus rhodochrous infection in an immunocompromised patient. International Journal of Case Reports and Images 2014;5(2):126–130.


Abstract
Introduction: Genus Rhodococcus is a rare cause of infection in human. Rhodococcus equi has been reported as a cause of majority of these infections. However, Rhodococcus rhodochrous has never been reported as an etiologic agent in human diseases.
Case Report: A 45-year-old female was admitted with cough with yellowish sputum production, fever, chills and shortness of breath for three days. Patient had significantly decline in her functional capacity. Over past three months, patients had recurrent admissions for pneumonia and developed increasing numbers of skin nodules. Blood cultures sent from previous admissions were reported as Corynebacterium species. Lung and skin biopsy showed Rhodococcus rhodochrous species confirmed by high performance liquid chromatography. Later in the course of disease, patient developed brain abscesses.
Conclusion: Corynebacterium species in blood should be carefully reviewed in an immunocompromised patient and Rhodococcus rhodochrous species infection should beconsidered as one of the differential diagnosis.

Keywords: Rhodococcus rhodochrous, Immunocompromised, Disseminated infection, Corynebacterium, Rhodococcus equi


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Author Contributions
Setu Patolia – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Eneh Kennedy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Zahir Mehjabin – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Neerja Gulati – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Swati Patolia – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Dharani Narendra – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rakesh Vadde – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Saurav Pokharel – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Frances Schmidt – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Joseph Quist – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Danilo Enriquez – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Setu Patolia et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)