Subedi Yogesh, Haas Christopher J
Medicine, MedStar Union Memorial Hospital, Baltimore, USA.
Medicine, MedStar Franklin Square Medical Center, Baltimore, USA.
Cureus. 2021 Aug 21;13(8):e17356. doi: 10.7759/cureus.17356. eCollection 2021 Aug.
Bacterial superinfection is a well-reported complication of viral pneumonia leading to significantly increased morbidity and mortality. Such superinfections have been reported in patients with pathogenic coronaviruses including severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS), but there are scant reports pertaining to superinfection in the context of coronavirus disease 2019 (COVID-19). We report a case of a middle-aged man who presented with worsening shortness of breath in the context of COVID-19 complicated by superimposed pneumonia. This case serves to highlight the possibility of bacterial superinfections and to be aware of such possibilities when patients are not responding to standard courses of treatment for COVID-19 as quick clinical deterioration is likely to develop.
细菌重叠感染是病毒性肺炎一种有充分报道的并发症，会导致发病率和死亡率显著增加。在感染致病性冠状病毒（包括严重急性呼吸综合征（SARS）和中东呼吸综合征（MERS））的患者中曾有过此类重叠感染的报道，但关于2019冠状病毒病（COVID-19）背景下重叠感染的报道却很少。我们报告了一例中年男性病例，该患者在COVID-19的背景下出现呼吸急促加重，并伴有叠加性肺炎。该病例旨在强调细菌重叠感染的可能性，并提醒在患者对COVID-19标准疗程治疗无反应时要意识到这种可能性，因为可能会迅速出现临床恶化。
