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Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia

Here, we describe the case of a COVID-19 patient who developed recurring ventilator-associated pneumonia caused by Pseudomonas aeruginosa that acquired increasing levels of antimicrobial resistance (AMR) in response to treatment. Metagenomic analysis revealed the AMR genotype, while immunological an...

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Autores principales: Gregorova, Michaela, Morse, Daniel, Brignoli, Tarcisio, Steventon, Joseph, Hamilton, Fergus, Albur, Mahableshwar, Arnold, David, Thomas, Matthew, Halliday, Alice, Baum, Holly, Rice, Christopher, Avison, Matthew B, Davidson, Andrew D, Santopaolo, Marianna, Oliver, Elizabeth, Goenka, Anu, Finn, Adam, Wooldridge, Linda, Amulic, Borko, Boyton, Rosemary J, Altmann, Daniel M, Butler, David K, McMurray, Claire, Stockton, Joanna, Nicholls, Sam, Cooper, Charles, Loman, Nicholas, Cox, Michael J, Rivino, Laura, Massey, Ruth C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: eLife Sciences Publications, Ltd 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775105/
https://www.ncbi.nlm.nih.gov/pubmed/33331820
http://dx.doi.org/10.7554/eLife.63430
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author Gregorova, Michaela
Morse, Daniel
Brignoli, Tarcisio
Steventon, Joseph
Hamilton, Fergus
Albur, Mahableshwar
Arnold, David
Thomas, Matthew
Halliday, Alice
Baum, Holly
Rice, Christopher
Avison, Matthew B
Davidson, Andrew D
Santopaolo, Marianna
Oliver, Elizabeth
Goenka, Anu
Finn, Adam
Wooldridge, Linda
Amulic, Borko
Boyton, Rosemary J
Altmann, Daniel M
Butler, David K
McMurray, Claire
Stockton, Joanna
Nicholls, Sam
Cooper, Charles
Loman, Nicholas
Cox, Michael J
Rivino, Laura
Massey, Ruth C
author_facet Gregorova, Michaela
Morse, Daniel
Brignoli, Tarcisio
Steventon, Joseph
Hamilton, Fergus
Albur, Mahableshwar
Arnold, David
Thomas, Matthew
Halliday, Alice
Baum, Holly
Rice, Christopher
Avison, Matthew B
Davidson, Andrew D
Santopaolo, Marianna
Oliver, Elizabeth
Goenka, Anu
Finn, Adam
Wooldridge, Linda
Amulic, Borko
Boyton, Rosemary J
Altmann, Daniel M
Butler, David K
McMurray, Claire
Stockton, Joanna
Nicholls, Sam
Cooper, Charles
Loman, Nicholas
Cox, Michael J
Rivino, Laura
Massey, Ruth C
author_sort Gregorova, Michaela
collection PubMed
description Here, we describe the case of a COVID-19 patient who developed recurring ventilator-associated pneumonia caused by Pseudomonas aeruginosa that acquired increasing levels of antimicrobial resistance (AMR) in response to treatment. Metagenomic analysis revealed the AMR genotype, while immunological analysis revealed massive and escalating levels of T-cell activation. These were both SARS-CoV-2 and P. aeruginosa specific, and bystander activated, which may have contributed to this patient’s persistent symptoms and radiological changes.
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spelling pubmed-77751052021-01-04 Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia Gregorova, Michaela Morse, Daniel Brignoli, Tarcisio Steventon, Joseph Hamilton, Fergus Albur, Mahableshwar Arnold, David Thomas, Matthew Halliday, Alice Baum, Holly Rice, Christopher Avison, Matthew B Davidson, Andrew D Santopaolo, Marianna Oliver, Elizabeth Goenka, Anu Finn, Adam Wooldridge, Linda Amulic, Borko Boyton, Rosemary J Altmann, Daniel M Butler, David K McMurray, Claire Stockton, Joanna Nicholls, Sam Cooper, Charles Loman, Nicholas Cox, Michael J Rivino, Laura Massey, Ruth C eLife Microbiology and Infectious Disease Here, we describe the case of a COVID-19 patient who developed recurring ventilator-associated pneumonia caused by Pseudomonas aeruginosa that acquired increasing levels of antimicrobial resistance (AMR) in response to treatment. Metagenomic analysis revealed the AMR genotype, while immunological analysis revealed massive and escalating levels of T-cell activation. These were both SARS-CoV-2 and P. aeruginosa specific, and bystander activated, which may have contributed to this patient’s persistent symptoms and radiological changes. eLife Sciences Publications, Ltd 2020-12-17 /pmc/articles/PMC7775105/ /pubmed/33331820 http://dx.doi.org/10.7554/eLife.63430 Text en © 2020, Gregorova et al http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Microbiology and Infectious Disease
Gregorova, Michaela
Morse, Daniel
Brignoli, Tarcisio
Steventon, Joseph
Hamilton, Fergus
Albur, Mahableshwar
Arnold, David
Thomas, Matthew
Halliday, Alice
Baum, Holly
Rice, Christopher
Avison, Matthew B
Davidson, Andrew D
Santopaolo, Marianna
Oliver, Elizabeth
Goenka, Anu
Finn, Adam
Wooldridge, Linda
Amulic, Borko
Boyton, Rosemary J
Altmann, Daniel M
Butler, David K
McMurray, Claire
Stockton, Joanna
Nicholls, Sam
Cooper, Charles
Loman, Nicholas
Cox, Michael J
Rivino, Laura
Massey, Ruth C
Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia
title Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia
title_full Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia
title_fullStr Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia
title_full_unstemmed Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia
title_short Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring antibiotic-resistant bacterial pneumonia
title_sort post-acute covid-19 associated with evidence of bystander t-cell activation and a recurring antibiotic-resistant bacterial pneumonia
topic Microbiology and Infectious Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775105/
https://www.ncbi.nlm.nih.gov/pubmed/33331820
http://dx.doi.org/10.7554/eLife.63430
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