Alhuofie Sari T S
Medical Laboratories Technology Department, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munwarah 42353, Saudi Arabia.
Healthcare (Basel). 2021 Nov 21;9(11):1598. doi: 10.3390/healthcare9111598.
The combination of severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) infection and other respiratory pathogens is a real challenge for health care systems in terms of diagnosis, treatment, and management. Most of the reported bacterial coinfections among SARS-CoV-2 patients are hospital-acquired infections that occurred after several days of hospitalization. Little is known about the incidence of community-acquired atypical bacterial coinfections with SARS-CoV-2. In this work, we report on a rare case of an elderly SARS-CoV-2 patient with underdiagnosed bacterial coinfections who received care in the medical ward for 23 days then was discharged home. Retrospective serological investigation revealed positivity for and , indicating double community-acquired atypical bacterial coinfections that were in agreement with clinical manifestations that patients showed at his admission to the hospital. Screening for possible community-acquired respiratory co-pathogens among elderly SARS-CoV-2 patients is critical for effective treatment and management.
严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染与其他呼吸道病原体的合并感染，在诊断、治疗和管理方面对医疗系统构成了真正的挑战。在SARS-CoV-2患者中，大多数报告的细菌合并感染是住院几天后发生的医院获得性感染。关于SARS-CoV-2社区获得性非典型细菌合并感染的发生率知之甚少。在这项研究中，我们报告了一例罕见的老年SARS-CoV-2患者，其细菌合并感染未得到充分诊断，在内科病房接受了23天治疗后出院回家。回顾性血清学调查显示 和 呈阳性，表明存在双重社区获得性非典型细菌合并感染，这与患者入院时的临床表现相符。对老年SARS-CoV-2患者筛查可能的社区获得性呼吸道共病原体对于有效治疗和管理至关重要。
