• Medientyp: E-Artikel
  • Titel: Co-infection with Legionella and SARS-CoV-2: a case report
  • Beteiligte: Shimizu, Masaru; Chihara, Yusuke; Satake, Sakiko; Yone, Astuko; Makio, Mari; Kitou, Hideki; Takeda, Tomohiro
  • Erschienen: Springer Science and Business Media LLC, 2021
  • Erschienen in: JA Clinical Reports
  • Sprache: Englisch
  • DOI: 10.1186/s40981-021-00467-3
  • ISSN: 2363-9024
  • Entstehung:
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  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Introduction</jats:title> <jats:p>We report a case of COVID-19 with <jats:italic>Legionella</jats:italic> co-infection that was treated successfully.</jats:p> </jats:sec><jats:sec> <jats:title>Case report</jats:title> <jats:p>A 73-year-old man presented to the hospital with symptoms of fatigue that continued for the next 5 days. The patient was receiving docetaxel and prednisolone chemotherapy for prostate cancer. Laboratory findings on admission showed positive urine <jats:italic>Legionella</jats:italic> antigen test and SARS-CoV-2 test. He was administered antiviral and antibacterial agents, and a corticosteroid. Pneumonia exacerbated on day 2 of hospitalization. The patient underwent tracheal intubation and began receiving multidisciplinary care. On day 8 of hospitalization, his oxygenation improved, and the patient was extubated. He discharged on day 27 of hospitalization.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>The patient had a favorable outcome with early diagnosis and early treatment of both diseases. Patients with severe COVID-19 disease need to be evaluated for co-infection. Further, early diagnosis and early treatment of the microbial bacteria causing the co-infection are important.</jats:p> </jats:sec>
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