Tsang K W, Lam P S, Yuen K Y, Ooi C C, Lam W, Ip M
University Department of Medicine, Queen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong.
Respiration. 1998;65(4):327-30. doi: 10.1159/000029288.
We report a case of Rhodococcus equi, an unusual pathogen, causing a right upper lobe lung abscess in a patient with Evan's syndrome (auto-immune haemolytic anaemia and thrombocytopenia) who was treated with high-dose corticosteroid therapy. The patient was treated successfully with clarithromycin, vancomycin, ciprofloxacin and imipenen which appear to be effective in combination for this unusual condition in which the treatment regimen has been controversial.