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Concomitant Legionella pneumophila and Streptococcus pneumoniae Infections With Refractory Necrotizing Pneumonia in a
Shunsuke Fukuda1, Atsushi Nakahira1, Naoyuki Shiraishi2
1Department of Critical Care Medicine, Nara Prefecture General Medical Center, Nara, JPN.
Abstract:
Bacterial co-infection in patients with coronavirus disease 2019 (COVID-19) is uncommon but represents a clinically significant complication. Such infections present both diagnostic and therapeutic challenges and are often associated with poor outcomes. We report a rare case of refractory necrotizing pneumonia caused by co-infection with Legionella pneumophila and Streptococcus pneumoniae in a patient with COVID-19 who was treated with dexamethasone and baricitinib. This case underscores the importance of maintaining a high index of suspicion for concomitant bacterial infections in immunosuppressed elderly patients with COVID-19 to ensure timely and appropriate intervention and thereby improve clinical outcomes.
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