Abstract：
BACKGROUND:In the context of the COVID-19 pandemic the risk of misdiagnosis of other causes of respiratory infection is likely. In this work we aim to describe the clinical characteristics, treatment and outcome of pneumococcal infection in COVID-19 patients. PATIENTS AND METHODS:Every COVID-19 patient presenting with concomitant pneumococcal pneumonia during March 2020 in a tertiary teaching Hospital In Barcelona, Spain. RESULTS:Five patients with PCR confirmed COVID19 or clinical and radiological suspicion were diagnosed of pneumococcal infection. In all cases chest X-ray were abnormal, with unilateral or bilateral infiltrates. Procalcitonin showed to be not sensitive enough to detect pneumococcal infection. Antibiotherapy was promptly started in all five cases with subsequent satisfactory evolution. CONCLUSION:International guidelines do not include the universal screening for bacterial co-infection. Radiological pattern of COVID-19 can be indistinguishable from that of pneumococcus pneumonia and frequency of co-infection is not well stablished, therefore clinicians should be aware of the possible SARS-CoV-2-pneumococcus association to avoid misdiagnosis and delay antibiotic therapy.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Cucchiari D,Pericàs JM,Riera J,Gumucio R,Md EC,Nicolás D,Hospital Clínic 4H Team.doi
10.1016/j.medcli.2020.05.022subject
Has Abstractpub_date
2020-12-11 00:00:00pages
502-505issue
11eissn
0025-7753issn
1578-8989pii
S0025-7753(20)30349-3journal_volume
155pub_type
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