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Cytomegalovirus Coinfection in Critically Ill Patients with Novel Coronavirus-2019 Disease: Pathogens or Spectators?
Suhail S Siddiqui1, Soumyadip Chatterjee2, Ambuj Yadav3
1Department of Critical Care Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Insights
Cytomegalovirus (CMV) coinfection is an emerging challenge in critically ill patients with Coronavirus disease-2019 (COVID-19). Further research is needed to determine if CMV acts as a pathogen or bystander in these cases.
Area of Science:
- Virology
- Infectious Diseases
- Critical Care Medicine
Background:
- The Coronavirus disease-2019 (COVID-19) pandemic presents unique challenges in patient management.
- Emergence or reactivation of Herpesviridae family viruses, particularly cytomegalovirus (CMV), is a noted complication.
- Limited experience exists regarding concomitant viral infections like CMV during COVID-19.
Observation:
- This case series describes three critically ill patients with COVID-19 and concurrent CMV coinfections.
- The study originates from India, marking it as the first such case series from the region.
- The clinical role of CMV in COVID-19 patients remains unclear.
Findings:
- The presented cases highlight the occurrence of CMV coinfection in severe COVID-19.
- The interaction between COVID-19 and CMV requires further investigation.
- Distinguishing between CMV as a bystander or active pathogen is a key research question.
Implications:
- Understanding CMV's role is crucial for optimizing treatment strategies in COVID-19 patients.
- This research contributes to the limited global knowledge on viral coinfections during the pandemic.
- Further studies are warranted to clarify the pathogenicity of CMV in the context of COVID-19.
Abstract:
Coronavirus disease-2019 (COVID-19) pandemic is raging all over the world. As we are delving more into management of COVID-19, certain new challenges are emerging. One of these is emergence or reactivation of viral infections belonging to Herpesviridae family, especially cytomegalovirus (CMV). Although we have come across the threat of fungal and resistant bacterial infections, experience regarding reactivation or coinfection with concomitant viral infections like CMV during the COVID pandemic is still limited. Whether CMV is a bystander or pathogen is difficult to say categorically and needs further research. In this case series, we intend to describe three patients of COVID-19 with CMV coinfections. To our knowledge, this is the first case series from India.
How To Cite This Article:
Siddiqui SS, Chatterjee S, Yadav A, Rai N, Agrawal A, Gurjar M, et al. Cytomegalovirus Coinfection in Critically Ill Patients with Novel Coronavirus-2019 Disease: Pathogens or Spectators? Indian J Crit Care Med 2022;26(3):376-380.
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