An immunocompetent adult with asthma developed severe human metapneumovirus (HMPV) illness complicated by group A Streptococcus coinfection, progressing to acute respiratory distress syndrome and shock. Several coworkers had less severe HMPV infection. HMPV can cause severe respiratory illness in healthy adults and should be considered as a potential cause of community respiratory outbreaks.
Keywords: acute respiratory distress syndrome; group A Streptococcus; human metapneumovirus; pneumonia; respiratory virus.
Published by Oxford University Press for the Infectious Diseases Society of America 2019.