RHODOCOCCUS-EQUI LUNG ABSCESS COMPLICATING EVANS-SYNDROME TREATED WITH CORTICOSTEROID

We report a case of Rhodococcus equi, an unusual pathogen, causing a r ight upper lobe lung abscess in a patient with Evan's syndrome (auto-i mmune haemolytic anaemia and thrombocytopenia) who was treated with hi gh-dose corticosteroid therapy. The patient was treated successfully w ith clarithromycin, vancomycin, ciprofloxacin and imipenen which appea r to be effective in combination for this unusual condition in which t he treatment regimen has been controversial.