Rhodococcus

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The page below is a sample from the LabCE course Medically Important Aerobic Actinomycetes. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Rhodococcus

Currently, 50 species of Rhodococcus exist. Only a few species have been implicated in human infections.
Rhodococcus was once included in the genus Mycobacterium. Recently, several have been redefined as Gordonia and Tsukamurella.
R. equi is most commonly associated with human and animal infections. (It is a major cause of bronchopneumonia in young foals.) Rhodococcus infections may cause severe infections among the immunocompromised, especially among those infected with the human immunodeficiency virus (HIV).
CharacteristicsComments
Appearance of Gram stainGram-positive, cocci or short rods (diphtheroid-like), minimal branching
Appearance of modified acid-fast stain (MAS)Usually, weakly acid-fast (red color)
Most often associated with clinical disease
Rhodococcus equi (R. erythropolis, R. rhodochrous, R. aurantiacus, R. erythropolis, R. globerulus, R. gordoniae, R. corynebacteroides, may also be implicated.)
Colonial growthNon-hemolytic. No aerial hyphae; rough, smooth or mucoid (slimy), round; often pigmented (buff, pale yellow, coral, orange, red, some may be colorless)
Phenotypic characterization47
Gelatin hydrolysis negative
Lysozyme resistance variable
Urea hydrolysis is usually positive
Reduces nitrates
Carbohydrate reduction negative
Temperature of optimal growthOptimal temperature is 30°C
47. National Health Service. Public Health England: UK standards for microbiology investigations - Identification of the aerobic actinomycetes. 2016. Accessed November 5, 2022. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/563971/ID_10i2.2.pdf
48. CDC/Linder. Image #15190. This photomicrograph of a Gram-stained specimen, revealed numerous, Gram-positive, Rhodococcus equi, formerly Corynebacterium equi, coryneform bacteria. PHIL public domain. Created 1977. Accessed October 27, 2022. https://phil.cdc.gov/Details.aspx?pid=15190
49. CDC/Clark. Image #1553. This image depicts a blood agar plate (BAP), which had been inoculated with Rhodococcus equi. PHIL public domain. Created 1977. Accessed November 5, 2022. https://phil.cdc.gov/Details.aspx?pid=1553

48. Gram stain of Rhodococcus
49. Rhodococcus equi on blood agar plate