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Pneumococcal superinfection in COVID-19 patients: A series of 5 cases

David Cucchiari1, Juan M Pericàs2, Josep Riera3

  • 1Renal Transplantation Unit, Nephrology Service, Hospital Clinic Barcelona, Spain.

Medicina Clinica
|June 28, 2020
PubMed
Abstract

Insights

Pneumococcal infection can co-occur with COVID-19, potentially leading to misdiagnosis. Early antibiotic treatment for bacterial pneumonia in COVID-19 patients is crucial for favorable outcomes.

Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Internal Medicine

Background:

  • The COVID-19 pandemic presents diagnostic challenges for respiratory infections.
  • Distinguishing between COVID-19 and other causes like pneumococcal pneumonia is critical.

Observation:

  • This study observed five patients with confirmed or suspected COVID-19 and pneumococcal pneumonia.
  • Chest X-rays showed abnormal unilateral or bilateral infiltrates in all cases.
  • Procalcitonin levels were not sensitive enough for diagnosing pneumococcal infection.

Findings:

  • All patients received prompt antibiotic therapy.
  • Satisfactory clinical evolution was noted in all treated cases.
  • Radiological findings of COVID-19 and pneumococcal pneumonia can be similar.

Implications:

  • Clinicians must consider the possibility of SARS-CoV-2 and pneumococcus co-infection.
  • Universal screening for bacterial co-infections is not standard but may be warranted.
  • Awareness of this association can prevent misdiagnosis and delayed treatment.
Keywords:
COVID-19CoinfecciónDiagnosisDiagnósticoS. pneumoniaeTratamientoTreatmentco-infection

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