Pulmonary malakoplakia secondary to Rhodococcus equi infection mimicking a lung neoplasm in a lung transplant recipient

Am J Transplant. 2019 Feb;19(2):597-600. doi: 10.1111/ajt.15045. Epub 2018 Sep 4.

Abstract

Pulmonary masses occasionally occur after lung transplantation and vary in etiology, which includes malignant and benign conditions, such as infection. Here, we report a case of a patient presenting with a lung mass 3 years after lung transplant. To our knowledge, this is the first described case of pulmonary malakoplakia due to Rhodococcus equi infection in an allograft post-lung transplantation. This case outlines the challenges of differentiating benign from malignant masses after transplantation.

Keywords: clinical research/practice; infectious disease; lung (allograft) function/dysfunction; lung disease; lung disease: infectious; lung transplantation/pulmonology.

Publication types

  • Case Reports

MeSH terms

  • Actinomycetales Infections / complications*
  • Actinomycetales Infections / epidemiology
  • Actinomycetales Infections / microbiology
  • Aged
  • Diagnosis, Differential
  • Humans
  • Lung Diseases / diagnosis*
  • Lung Diseases / etiology
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / etiology
  • Lung Transplantation / adverse effects*
  • Malacoplakia / diagnosis*
  • Malacoplakia / etiology
  • Male
  • Postoperative Complications*
  • Prognosis
  • Rhodococcus equi / isolation & purification*