{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:32:35Z","timestamp":1761129155339,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,30]]},"abstract":"<jats:p>\n                  <jats:italic>Rhodococcus equi<\/jats:italic> is an aerobic facultative intracellular organism that is known to infect cells of the macrophage\u2013monocyte lineage. It is a common veterinary pathogen; however, the incidence of this infection in humans has risen and it has been recognised as an emerging opportunistic pathogen among the immunocompromised patients. We present the case of a patient with chronic myeloid leukaemia who had received allogenic stem cell transplant and presented to the hospital with clinical picture of pneumonia. Her condition worsened on initial broad spectrum antimicrobials and 3\u2005weeks into her hospitalisation, <jats:italic>R. equi<\/jats:italic> was isolated from her broncheoalveolar lavage and blood cultures. Based on the susceptibility, therapy was changed to four active antimicrobials; however, the patient failed to improve and eventually died. This case highlights the importance of considering the diagnosis of <jats:italic>R. equi<\/jats:italic> among immunosuppressed patients early in the right clinical setting due to the high virulence associated with this organism.<\/jats:p>","DOI":"10.1136\/bcr-2014-204721","type":"journal-article","created":{"date-parts":[[2014,6,18]],"date-time":"2014-06-18T09:48:00Z","timestamp":1403084880000},"page":"bcr2014204721","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Rhodococcus equi<\/i> pneumonia and sepsis in an allogeneic haematopoietic stem cell transplant recipient"],"prefix":"10.1136","volume":"2014","author":[{"given":"Lokesh","family":"Shahani","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,18]]},"reference":[{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.1","doi-asserted-by":"publisher","DOI":"10.1086\/340259"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-66-6-1174"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(10)70068-2"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.4","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1093\/ajcp\/103.5.649","article-title":"Rhodococcus equi: an increasingly recognized opportunistic pathogen. Report of 12 cases and review of 65 cases in the literature","volume":"103","author":"Scott","year":"1995","journal-title":"AmJ Clin Pathol"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.5","doi-asserted-by":"publisher","DOI":"10.1186\/1746-1596-7-20"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2007.00274.x"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.7","doi-asserted-by":"crossref","first-page":"2887","DOI":"10.1128\/jcm.29.12.2887-2889.1991","article-title":"Prevalence of virulent Rhodococcus equi in isolates from soil and feces of horses from horse-breeding farms with and without endemic infections","volume":"29","author":"Takai","year":"1991","journal-title":"J Clin Microbiol"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.2042-3306.1981.tb03500.x"},{"key":"2025082723140308000_2014.jun18_1.bcr2014204721.9","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1128\/CMR.4.1.20","article-title":"Rhodococcus equi: an animal and human pathogen","volume":"4","author":"Prescott","year":"1991","journal-title":"Clin Microbiol Rev"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204721","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:14:14Z","timestamp":1756361654000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204721"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,18]]},"references-count":9,"alternative-id":["10.1136\/bcr-2014-204721"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204721","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,6,18]]}}}