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Travel Trouble With Legionella in the Era of COVID-19: A Case Report

A 56-year-old male was admitted to the hospital with severe sepsis secondary to pneumonia. His presentation was challenging and confusing due to the accompanying coronavirus disease 2019 (COVID-19) infection attributed to his travel history and diagnosed via radiological findings. He received dexame...

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Detalles Bibliográficos
Autores principales: Hussain, Khandakar M, Alam, Md Didar Ul, Ahmad, Nuzhat T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011472/
https://www.ncbi.nlm.nih.gov/pubmed/33816031
http://dx.doi.org/10.7759/cureus.13632
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author Hussain, Khandakar M
Alam, Md Didar Ul
Ahmad, Nuzhat T
author_facet Hussain, Khandakar M
Alam, Md Didar Ul
Ahmad, Nuzhat T
author_sort Hussain, Khandakar M
collection PubMed
description A 56-year-old male was admitted to the hospital with severe sepsis secondary to pneumonia. His presentation was challenging and confusing due to the accompanying coronavirus disease 2019 (COVID-19) infection attributed to his travel history and diagnosed via radiological findings. He received dexamethasone with ceftriaxone and azithromycin. Despite the fact he was on appropriate antibiotics, his condition worsened, and he was eventually diagnosed with Legionella pneumonia, which was thought to be resistant to macrolides. His condition improved significantly when antibiotics were switched to levofloxacin. It is important to keep in mind other causes of community-acquired pneumonia (CAP) during the ongoing COVID-19 era. What makes this case unique is that it presented a confusing scenario due to the patient's concurrent COVID-19 infection and his failure to improve with the administration of azithromycin.
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spelling pubmed-80114722021-04-02 Travel Trouble With Legionella in the Era of COVID-19: A Case Report Hussain, Khandakar M Alam, Md Didar Ul Ahmad, Nuzhat T Cureus Internal Medicine A 56-year-old male was admitted to the hospital with severe sepsis secondary to pneumonia. His presentation was challenging and confusing due to the accompanying coronavirus disease 2019 (COVID-19) infection attributed to his travel history and diagnosed via radiological findings. He received dexamethasone with ceftriaxone and azithromycin. Despite the fact he was on appropriate antibiotics, his condition worsened, and he was eventually diagnosed with Legionella pneumonia, which was thought to be resistant to macrolides. His condition improved significantly when antibiotics were switched to levofloxacin. It is important to keep in mind other causes of community-acquired pneumonia (CAP) during the ongoing COVID-19 era. What makes this case unique is that it presented a confusing scenario due to the patient's concurrent COVID-19 infection and his failure to improve with the administration of azithromycin. Cureus 2021-03-01 /pmc/articles/PMC8011472/ /pubmed/33816031 http://dx.doi.org/10.7759/cureus.13632 Text en Copyright © 2021, Hussain et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Hussain, Khandakar M
Alam, Md Didar Ul
Ahmad, Nuzhat T
Travel Trouble With Legionella in the Era of COVID-19: A Case Report
title Travel Trouble With Legionella in the Era of COVID-19: A Case Report
title_full Travel Trouble With Legionella in the Era of COVID-19: A Case Report
title_fullStr Travel Trouble With Legionella in the Era of COVID-19: A Case Report
title_full_unstemmed Travel Trouble With Legionella in the Era of COVID-19: A Case Report
title_short Travel Trouble With Legionella in the Era of COVID-19: A Case Report
title_sort travel trouble with legionella in the era of covid-19: a case report
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011472/
https://www.ncbi.nlm.nih.gov/pubmed/33816031
http://dx.doi.org/10.7759/cureus.13632
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