Qiu Michael, Jayasekara Deepthi, Jayasekara Arindra
Internal Medicine, University at Buffalo, Buffalo, USA.
Internal Medicine, Western University of Health Sciences, Pomona, USA.
Cureus. 2022 Jun 10;14(6):e25824. doi: 10.7759/cureus.25824. eCollection 2022 Jun.
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), has been associated with a plethora of symptoms weeks after the acute infection. While many reports have investigated the novel syndrome of post-acute sequelae of COVID-19, fewer studies have examined post-COVID-19 secondary infections, which may be distinct from typical post-viral bacterial infections due to the multiorgan involvement of COVID-19. This case report aims to highlight a presentation in which a 65-year-old man had COVID-19 and subsequently developed methicillin-sensitive (MSSA) bacteremia with widespread seeding of secondary infections, including abscesses in the hand and paravertebral regions as well as discitis/osteomyelitis of the cervical spine. Further studies are needed to investigate whether an increased susceptibility to unusual secondary bacterial infections is present in post-COVID-19 patients.
2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起,在急性感染数周后会出现多种症状。虽然许多报告都对COVID-19急性后遗症这一新型综合征进行了研究,但较少有研究考察COVID-19后的继发性感染,由于COVID-19涉及多器官,这种继发性感染可能与典型的病毒后细菌性感染不同。本病例报告旨在突出这样一个病例:一名65岁男性感染了COVID-19,随后发展为对甲氧西林敏感的(MSSA)菌血症,并出现继发性感染的广泛播散,包括手部和椎旁区域的脓肿以及颈椎的椎间盘炎/骨髓炎。需要进一步研究来调查COVID-19康复患者是否对不寻常的继发性细菌感染易感性增加。