Purulent meningitis due to Rhodococcus equi

Abstract

Opportunistic infections due to Rhodococcus equi have been increasingly reported in the immunocompromised population, especially in patients with AIDS. In this report, we present an unusual case of purulent meningitis that developed in an immunocompetent six‐year‐old child through direct inoculation of R. equi.

Recurrent Systemic Pneumococcal Disease and IRAK4 Deficiency

“…The third case report described a 6-year-old boy with R. equi meningitis after a perforation injury of the eye contaminated with horse feces. 8 The only other nosocomial R. equi shunt associated infection reported in the literature occurred in a 51-year-old immunocompetent female 2 weeks after insertion of an external ventricular drain after head trauma caused by an accidental fall. 9 R. equi is commonly susceptible to vancomycin, erythromycin, aminoglycosides, rifampin, and imipenem and resistant to penicillins and cephalosporins.…”

Purulent meningitis caused by Rhodococcus equi

“…[ 2 ] However, purulent meningitis due to Rhodococcus equi is extremely rare. [ 3 ] R. equi , also known as Corynebacterium equi , is an opportunistic pathogen that frequently infects horses, pigs, and cattle. Recently, there has been an increase in relevant reports of R. equi infection, and the majority involve septicemic children and patients with immunodeficiency.…”