1. Home
  2. Vol 5, No 3 (2023)
  3. Abniki

A Case Study of the Treatment Strategies Employed to Cure a COVID-19 Patient with Multiple Infections Successfully

Reza Abniki, Arezoo Pourdad, Kiana Shirani, Davood Mansury

Abstract


The COVID-19 pandemic has given rise to new clinical challenges in healthcare settings. One of these challenges includes a heightened risk of secondary invasive bacterial and fungal infections, which have been associated with a notable mortality rate. We report a fatal case of a COVID-19 patient with two bacterial and one fungal infection successfully cured. A woman went to the hospital with fatigue, cough, chest and abdominal pain, nausea, and vomiting symptoms. She tested positive for COVID-19 and had underlying health conditions. She had a bacterial infection called Klebsiella Pneumoniae. The bacteria were resistant to many antibiotics, but colistin was effective. After 20 days in the ICU, she developed a fungal and Enterococcus faecalis(which was a Vancomycin-Resistant Enterococcus (VRE)) infection. The second bacteria were treated with linezolid. After 35 days in the hospital, she was discharged with no signs of infection. It is crucial to include proper bacterial screening and treatment when addressing COVID-19.

 

Doi: 10.28991/SciMedJ-2023-05-03-02

Full Text: PDF


Keywords


Q Angle; COVID-19; Klebsiella Pneumoniae; Enterococcus Faecalis; Fungal Infection; Case Report.

References


Li, X., Wang, C., Kou, S., Luo, P., Zhao, M., & Yu, K. (2020). Lung ventilation function characteristics of survivors from severe COVID-19: a prospective study. Critical Care, 24(1). doi:10.1186/s13054-020-02992-6.

Ahmed, S., & Alsisi, R. H. (2022). Multi-Factor Triage Algorithm (MUFTA): Quantitative and Qualitative Ethical Factors on Triage Decisions During COVID-19. Emerging Science Journal, 6, 87–107. doi:10.28991/esj-2022-sper-07.

Lai, C.-C., Wang, C.-Y., & Hsueh, P.-R. (2020). Co-infections among patients with COVID-19: The need for combination therapy with non-anti-SARS-CoV-2 agents? Journal of Microbiology, Immunology and Infection, 53(4), 505–512. doi:10.1016/j.jmii.2020.05.013.

Angawi, K. (2023). Immigrants, health, and the impact of COVID-19: A narrative review. F1000Research, 12, 176. doi:10.12688/f1000research.130085.1.

Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., Xiang, J., Wang, Y., Song, B., Gu, X., Guan, L., Wei, Y., Li, H., Wu, X., Xu, J., Tu, S., Zhang, Y., Chen, H., & Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The Lancet, 395(10229), 1054–1062. doi:10.1016/s0140-6736(20)30566-3.

Baskaran, V., Lawrence, H., Lansbury, L. E., Webb, K., Safavi, S., Zainuddin, N. I., Huq, T., Eggleston, C., Ellis, J., Thakker, C., Charles, B., Boyd, S., Williams, T., Phillips, C., Redmore, E., Platt, S., Hamilton, E., Barr, A., Venyo, L., … Lim, W. S. (2021). Co-infection in critically ill patients with COVID-19: an observational cohort study from England. Journal of Medical Microbiology, 70(4). doi:10.1099/jmm.0.001350.

Sharifipour, E., Shams, S., Esmkhani, M., Khodadadi, J., Fotouhi-Ardakani, R., Koohpaei, A., Doosti, Z., & EJ Golzari, S. (2020). Evaluation of bacterial co-infections of the respiratory tract in COVID-19 patients admitted to ICU. BMC Infectious Diseases, 20(1). doi:10.1186/s12879-020-05374-z.

Lansbury, L., Lim, B., Baskaran, V., & Lim, W. S. (2020). Co-infections in people with COVID-19: a systematic review and meta-analysis. Journal of Infection, 81(2), 266–275. doi:10.1016/j.jinf.2020.05.046.

Shimizu, M., Chihara, Y., Satake, S., Yone, A., Makio, M., Kitou, H., & Takeda, T. (2021). Co-infection with Legionella and SARS-CoV-2: a case report. JA Clinical Reports, 7(1). doi:10.1186/s40981-021-00467-3.

Fernando, B. J. U., Antonio, Ma. O. B., De Guzman, K. M. A., Gatbonton, J. C. Y., Vendivil, S. T., Tiongco, R. E. G., & Tesalona, S. D. (2021). The Prevalence of blaNDM-1 in Clinical Isolates of Carbapenem-resistant Pseudomonas Aeruginosa: A Systematic Review. SciMedicine Journal, 3(4), 387–398. doi:10.28991/scimedj-2021-0304-9.

Calderon, M., Gysin, G., Gujjar, A., McMaster, A., King, L., Comandé, D., Hunter, E., & Payne, B. (2023). Bacterial co-infection and antibiotic stewardship in patients with COVID-19: a systematic review and meta-analysis. BMC Infectious Diseases, 23(1). doi:10.1186/s12879-022-07942-x.


Full Text: PDF

DOI: 10.28991/SciMedJ-2023-05-03-02

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Davood mansury, Reza Abniki, Arezoo Pourdad, Kiana Shirani