PT - JOURNAL ARTICLE AU - Don Hayes, Jr AU - Enrique Diaz-Guzman AU - Charles W Hoopes TI - <em>Rhodococcus equi</em> Infection After Lung Transplantation AID - 10.4187/respcare.01132 DP - 2011 Oct 01 TA - Respiratory Care PG - 1605--1607 VI - 56 IP - 10 4099 - http://rc.rcjournal.com/content/56/10/1605.short 4100 - http://rc.rcjournal.com/content/56/10/1605.full AB - 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.