Successful management of the first reported case in Austria of COVID-19 with ARDS

T Seitz; W Hoepler; L Weseslindtner; J H Aberle; S W Aberle; E Puchhammer-Stoeckl; S Baumgartner; M Traugott; M Karolyi; E Pawelka; I Niculescu; E Friese; S Neuhold; D Stahl; C Madl; A Zoufaly; C Wenisch; H Laferl

doi:10.1007/s15010-020-01458-9

Successful management of the first reported case in Austria of COVID-19 with ARDS

Infection. 2020 Aug;48(4):647-651. doi: 10.1007/s15010-020-01458-9. Epub 2020 Jun 13.

Authors

T Seitz¹, W Hoepler², L Weseslindtner³, J H Aberle³, S W Aberle³, E Puchhammer-Stoeckl³, S Baumgartner², M Traugott², M Karolyi², E Pawelka², I Niculescu², E Friese², S Neuhold², D Stahl⁴, C Madl⁵, A Zoufaly², C Wenisch², H Laferl²

Affiliations

¹ 4th Medical Department with Infectious Diseases and Tropical Medicine, Kaiser-Franz-Josef Hospital, 1100, Vienna, Austria. [email protected].
² 4th Medical Department with Infectious Diseases and Tropical Medicine, Kaiser-Franz-Josef Hospital, 1100, Vienna, Austria.
³ Center for Virology, Medical University of Vienna, 1090, Vienna, Austria.
⁴ Department of Hospital Hygiene and Infection Control, Krankenanstalt Rudolfstiftung, 1030, Vienna, Austria.
⁵ 4th Medical Department with Gastroenterology, Krankenanstalt Rudolfstiftung, 1030, Vienna, Austria.

Abstract

We report the successful management of a patient with severe respiratory failure due to COVID-19 admitted to an intensive care unit complicated by secondary catheter-related infection of Candida glabrata. We are discussing some of the clinical challenges and the pitfalls in molecular diagnosis of SARS-CoV-2, including the fact that a positive PCR result may not always reflect infectiousness.

Keywords: ARDS; COVID-19; Candida glabrata; Candidemia; SARS-CV-2.

Publication types

Case Reports

MeSH terms

Aged
Antifungal Agents / therapeutic use
Austria
Betacoronavirus
COVID-19
Candidemia / drug therapy*
Candidemia / virology
Coinfection / microbiology
Coinfection / virology
Coronavirus Infections / complications
Coronavirus Infections / diagnostic imaging
Coronavirus Infections / therapy*
Disease Management*
Humans
Hypertension / complications
Intensive Care Units
Male
Pandemics
Pneumonia, Viral / complications
Pneumonia, Viral / diagnostic imaging
Pneumonia, Viral / therapy*
Respiratory Distress Syndrome / virology*
SARS-CoV-2
Tomography, X-Ray Computed
Treatment Outcome

Substances

Antifungal Agents