Co-infection with Legionella and SARS-CoV-2: a case report

Introduction We report a case of COVID-19 with Legionella co-infection that was treated successfully. Case report 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 ca...

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Bibliographic Details
Published in:JA clinical reports 2021-08, Vol.7 (1), p.62-62, Article 62
Main Authors: Shimizu, Masaru, Chihara, Yusuke, Satake, Sakiko, Yone, Astuko, Makio, Mari, Kitou, Hideki, Takeda, Tomohiro
Format: Article
Language:English
Subjects:
Anesthesiology
Case Report
Case reports
Co-infection
Coronaviruses
COVID-19
Critical Care Medicine
Early diagnosis
Early treatment
Emergency Medicine
Hospitalization
Infections
Intensive
Legionella
Medicine
Medicine & Public Health
Pain Medicine
Pneumonia
Prostate cancer
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
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Summary:Introduction We report a case of COVID-19 with Legionella co-infection that was treated successfully. Case report 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 Legionella 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. Conclusions 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.
ISSN:2363-9024
2363-9024
DOI:10.1186/s40981-021-00467-3