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Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19

Herein, we describe a case report of a critically ill patient, a 48-year-old man without comorbidities admitted to the hospital with a serious type 1 (hypoxemic) respiratory insufficiency and confirmed diagnosis of COVID-19. After 5 days with invasive mechanical ventilation, the patient developed a...

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Detalles Bibliográficos
Autores principales: Méndez, Lucía, Ferreira, Jorge, Caneiras, Cátia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620350/
https://www.ncbi.nlm.nih.gov/pubmed/34835494
http://dx.doi.org/10.3390/microorganisms9112369
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author Méndez, Lucía
Ferreira, Jorge
Caneiras, Cátia
author_facet Méndez, Lucía
Ferreira, Jorge
Caneiras, Cátia
author_sort Méndez, Lucía
collection PubMed
description Herein, we describe a case report of a critically ill patient, a 48-year-old man without comorbidities admitted to the hospital with a serious type 1 (hypoxemic) respiratory insufficiency and confirmed diagnosis of COVID-19. After 5 days with invasive mechanical ventilation, the patient developed a bacterial co-infection, namely a pneumonia by Hafnia alvei, requiring the last line of respiratory support: extracorporeal membrane oxygenation (ECMO). Subsequently, his clinical situation gradually stabilized, until he was discharged from the hospital on day 61, being accompanied in ambulatory consultation by the physical medicine and pulmonology department during the post-COVID-19 recovery. H. alvei is a Gram-negative bacterium that is rarely isolated from human specimens and is rarely considered to be pathogenic. However, COVID-19 disease can cause substantial organ dysfunction and can be associated with bacterial secondary infections which can favor the emergence of rare infectious diseases by uncommon microorganisms.
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spelling pubmed-86203502021-11-27 Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19 Méndez, Lucía Ferreira, Jorge Caneiras, Cátia Microorganisms Case Report Herein, we describe a case report of a critically ill patient, a 48-year-old man without comorbidities admitted to the hospital with a serious type 1 (hypoxemic) respiratory insufficiency and confirmed diagnosis of COVID-19. After 5 days with invasive mechanical ventilation, the patient developed a bacterial co-infection, namely a pneumonia by Hafnia alvei, requiring the last line of respiratory support: extracorporeal membrane oxygenation (ECMO). Subsequently, his clinical situation gradually stabilized, until he was discharged from the hospital on day 61, being accompanied in ambulatory consultation by the physical medicine and pulmonology department during the post-COVID-19 recovery. H. alvei is a Gram-negative bacterium that is rarely isolated from human specimens and is rarely considered to be pathogenic. However, COVID-19 disease can cause substantial organ dysfunction and can be associated with bacterial secondary infections which can favor the emergence of rare infectious diseases by uncommon microorganisms. MDPI 2021-11-17 /pmc/articles/PMC8620350/ /pubmed/34835494 http://dx.doi.org/10.3390/microorganisms9112369 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Méndez, Lucía
Ferreira, Jorge
Caneiras, Cátia
Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19
title Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19
title_full Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19
title_fullStr Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19
title_full_unstemmed Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19
title_short Hafnia alvei Pneumonia: A Rare Cause of Infection in a Patient with COVID-19
title_sort hafnia alvei pneumonia: a rare cause of infection in a patient with covid-19
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8620350/
https://www.ncbi.nlm.nih.gov/pubmed/34835494
http://dx.doi.org/10.3390/microorganisms9112369
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