Disseminated Rhodococcus equi infection in a patient with Hodgkin lymphoma Diseminovana Rhodococcus equi infekcija kod bolesnice sa Ho˛ kinovim limfomom

Introduction. Rhodococcus (R) equi is an opportunistic, un- common human pathogen that causes mainly infection in immunocompromised hosts. The disease is usually presented as subacute pneumonia that is mostly cavitary and sometimes bacteremic. Case report. We reported the extremly rare case of a 43-year-old woman with Hodgkin lymphoma, who devel- oped R. equi pulmonary infection after recieving multiple courses of chemotherapy. Secondary, the patient developed bacteremia, leading to sepsis and dissemination of R. equi in- fection in many extrapulmonary sites. At addmission the pa- tient was febrile, tachypnoic, tachycardic, hypotensive, with fa- cial edema, splenomegaly, positive meningeal signs, left hemi- paresis and paraparesis. Laboratory data included erythrocyte sedimentation rate (ESR) > 140 mm/h, C-reactive protein (CRP) 143.0 mg/L, red blood cells (RBC) 2.14 × 10 12 /L, whyite blood cells (WBC) 2.8 × 10 9 /L, lactate dehydrogenase