Introduction: We report a case of COVID-19 with Legionella co-infection that was treated successfully. Case report: A 73-year-old man presented to the hospital with symptoms of fatigue that continued for the next 5 days. The patient was receiving docetaxel and prednisolone chemotherapy for prostate cancer. Laboratory findings on admission showed positive urine Legionella antigen test and SARS-CoV-2 test. He was administered antiviral and antibacterial agents, and a corticosteroid. Pneumonia exacerbated on day 2 of hospitalization. The patient underwent tracheal intubation and began receiving multidisciplinary care. On day 8 of hospitalization, his oxygenation improved, and the patient was extubated. He discharged on day 27 of hospitalization. Conclusions: The patient had a favorable outcome with early diagnosis and early treatment of both diseases. Patients with severe COVID-19 disease need to be evaluated for co-infection. Further, early diagnosis and early treatment of the microbial bacteria causing the co-infection are important.
CITATION STYLE
Shimizu, M., Chihara, Y., Satake, S., Yone, A., Makio, M., Kitou, H., & Takeda, T. (2021). Co-infection with Legionella and SARS-CoV-2: a case report. JA Clinical Reports, 7(1). https://doi.org/10.1186/s40981-021-00467-3
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