Secondary Bacterial Organizing Pneumonia in a Patient Recovered from COVID-19 Disease: A Case Report

• 作者: Alaa Al Zaki Reem Al Argan Abir Al Said Fears Al Kuwaiti
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: COVID-19 Disease Organizing Pneumonia Secondary Bacterial Infection Bronchoalveolar Lavage Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2)
• 年，卷（期）: 2021,（2）
• 页码范围: 46-51
• 页数: 6页
• 分类号: R73

摘要

COVID-19 disease is a global pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) that mainly presents with pneumonia, but has variable multi-systemic manifestations. Concomitant bacterial infections associated with the acute stage of COVID-19 disease have been rarely reported in the literature. However, to our knowledge, post viral organizing pneumonia (OP) secondary to bacterial infection after recovery from SARS-CoV2 infection has not been noted before. We report a 27-year-old male patient with Type 1 Diabetes Mellitus who presented with fever post recovery from COVID-19 disease for seven weeks and was found to have OP secondary to<em> Klebsiella pneumoniae</em>. Furthermore, the bronchoalveolar lavage was positive for SARS-CoV2 by RT-PCR despite multiple negative nasopharyngeal RT-PCR. The patient was successfully treated with antibiotics only. Therefore, we conclude that early recognition of OP secondary to bacterial infection in patients with COVID-19 disease and prompt antibiotic treatment could avoid the use of a prolonged course of steroids.