Invasive pneumococcal disease affected the fatal outcome in a COVID-19 patient

J Infect Chemother. 2021 Jul;27(7):1108-1111. doi: 10.1016/j.jiac.2021.04.004. Epub 2021 Apr 8.

Abstract

A 68-year-old man experienced fever and cough and was referred to a hospital for day 4. He had a positive reverse transcription-polymerase chain reaction result for severe acute respiratory syndrome coronavirus-2. On day 12, his PaO2/FiO2 ratio worsened to 120 and he was transferred to Sapporo Medical University Hospital for treatment using extracorporeal membrane oxygenation. Venous blood cultures were positive for Streptococcus pneumoniae, which were serotype 3, mucoid-type, and penicillin susceptible. Coinfections with coronavirus disease-2019 and invasive pneumococcal disease are rare; however, they are associated with a higher case fatality than either of the conditions manifesting alone.

Keywords: COVID-19; Coronavirus disease 2019; Invasive pneumococcal disease; Severe acute respiratory syndrome coronavirus 2.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • COVID-19*
  • Extracorporeal Membrane Oxygenation*
  • Fatal Outcome
  • Humans
  • Male
  • Pneumococcal Infections*
  • SARS-CoV-2