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Rhodococcus equi: an animal and human pathogen.

J F Prescott1

  • 1Department of Veterinary Microbiology and Immunology, University of Guelph, Ontario, Canada.

Clinical Microbiology Reviews
|January 1, 1991
PubMed
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Rhodococcus equi infections, primarily known in foals, are increasingly found in immunocompromised humans, often linked to environmental or animal exposure. Understanding its transmission and pathogenesis is crucial for both veterinary and human medicine.

Area of Science:

  • Veterinary Medicine
  • Human Infectious Diseases
  • Microbiology

Background:

  • Rhodococcus equi is a soil-dwelling bacterium causing severe pneumonia in foals.
  • Human infections are rare but occur in immunocompromised individuals, including those with AIDS, post-transplant, or with hematologic malignancies.
  • The organism's prevalence in soil and herbivore feces suggests environmental and zoonotic transmission routes.

Purpose of the Study:

  • To review the current understanding of Rhodococcus equi infections.
  • To highlight the increasing relevance of R. equi in human medicine, particularly in immunocompromised populations.
  • To discuss the epidemiology, pathogenesis, diagnosis, treatment, and immunity of R. equi infections.

Main Methods:

  • Literature review of Rhodococcus equi infections in foals and humans.

Related Experiment Videos

  • Analysis of epidemiological data linking environmental and animal exposures to human cases.
  • Discussion of the organism's parasitic nature and its implications for disease presentation and treatment.
  • Main Results:

    • Rhodococcus equi causes pyogranulomatous pneumonia in foals and can lead to similar severe infections in immunocompromised humans.
    • A significant portion of human infections are associated with contact with herbivores, their manure, or contaminated soil.
    • The intracellular parasitic nature of R. equi explains disease characteristics and treatment efficacy.

    Conclusions:

    • Rhodococcus equi poses a significant health risk to both foals and immunocompromised humans.
    • Environmental and animal contact are key risk factors for human infection.
    • Further research into foal susceptibility and effective treatment strategies is warranted.