Stenotrophomona maltophilia and Staphylococcus sciuri as atypical agents of bacterial superinfection in a COVID-19 patient with a history of kidney transplantation
DOI:
https://doi.org/10.47187/cssn.Vol13.Iss2.191Keywords:
COVID-19, superinfection, immunosuppressionAbstract
Introduction: Those patients with history of renal transplantation infected by SARS-CoV 2, due to their state of pharmacological immunosuppression, may differ in terms of clinic, treatment and prognosis, so it is important a comprehensive and specific management. They usually need prolonged stays, present severe infections and are susceptible to bacterial superinfections that represent a severe risk for their survival and prognosis. Case presentation: 39-year-old male patient with a history of hemodialysis eight years ago and subsequent reception of a renal transplant five years ago, with confirmed SARS-CoV 2 infection who needed to be admitted to the Intensive Care Unit for ventilatory support. He presented a bacterial superinfection due to atypical nosocomial germs (Stenotrophomona maltophilia, Staphylococcus sciuri, Enterobacter cloacae) which led to a state of shock that ended in his death. In paraclinical studies he presented leukemoid reaction with neutrophilia and acute renal failure. Conclusions: Bacterial superinfection constitutes a great risk for patients with prolonged stays in hospitalization wards; therefore, its prevention is essential for a better prognosis and higher survival rate. In patients with immunosuppression it is predominant to suspect atypical germs as the cause of infectious events.
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