Severe invasive streptococcal infection in a patient with COVID-19: A case report
A 63-year-old male with a history of hypertension had contracted Coronavirus Disease-2019 (COVID-19) five days before visiting our hospital and was recovering at home. He was brought to the hospital for emergency care because of bilateral leg pain, diarrhea, and shortness of breath. On arrival to th...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250925000241 |
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| author | Yuki Matsuura Mone Murashita Takayoshi Oyasu Akira Kodate Yoshihiro Sadamoto Akio Endo Hisako Sageshima Takumi Tsuchida |
| author_facet | Yuki Matsuura Mone Murashita Takayoshi Oyasu Akira Kodate Yoshihiro Sadamoto Akio Endo Hisako Sageshima Takumi Tsuchida |
| author_sort | Yuki Matsuura |
| collection | DOAJ |
| description | A 63-year-old male with a history of hypertension had contracted Coronavirus Disease-2019 (COVID-19) five days before visiting our hospital and was recovering at home. He was brought to the hospital for emergency care because of bilateral leg pain, diarrhea, and shortness of breath. On arrival to the hospital, the patient was already suffering from multiple organ failure and was admitted to the intensive care unit. Streptococcus dysgalactiae subsp. equisimilis (SDSE) was detected in blood and sputum cultures, and we started antimicrobial therapy for septic shock/streptococcal toxic shock syndrome. However, multiple organ failure progressed, and the patient died one day after admission. This case suggests the possibility of immunosuppression due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient had no history of immunodeficiency, and COVID-19 may have contributed to the poor outcome. COVID-19 combined with SDSE sepsis has not been previously reported. Therefore, this case was considered rare. |
| format | Article |
| id | doaj-art-4c6e2d3164304792a0616b6f4b42d210 |
| institution | Kabale University |
| issn | 2214-2509 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj-art-4c6e2d3164304792a0616b6f4b42d2102025-02-06T05:11:46ZengElsevierIDCases2214-25092025-01-0139e02169Severe invasive streptococcal infection in a patient with COVID-19: A case reportYuki Matsuura0Mone Murashita1Takayoshi Oyasu2Akira Kodate3Yoshihiro Sadamoto4Akio Endo5Hisako Sageshima6Takumi Tsuchida7Department of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, JapanDepartment of Emergency and Critical Care Medicine, Sapporo City General Hospital, Sapporo, Japan; Division of Acute and Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Hokkaido University Faculty of Medicine, Sapporo, Japan; Correspondence to: Department of Emergency and Critical Care Medicine, Sapporo City General Hospital, N11W13 Chuo-ku, Sapporo 060-8604, Japan.A 63-year-old male with a history of hypertension had contracted Coronavirus Disease-2019 (COVID-19) five days before visiting our hospital and was recovering at home. He was brought to the hospital for emergency care because of bilateral leg pain, diarrhea, and shortness of breath. On arrival to the hospital, the patient was already suffering from multiple organ failure and was admitted to the intensive care unit. Streptococcus dysgalactiae subsp. equisimilis (SDSE) was detected in blood and sputum cultures, and we started antimicrobial therapy for septic shock/streptococcal toxic shock syndrome. However, multiple organ failure progressed, and the patient died one day after admission. This case suggests the possibility of immunosuppression due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The patient had no history of immunodeficiency, and COVID-19 may have contributed to the poor outcome. COVID-19 combined with SDSE sepsis has not been previously reported. Therefore, this case was considered rare.http://www.sciencedirect.com/science/article/pii/S2214250925000241SepsisCOVID-19Streptococcal infectionStreptococcal toxic shock syndromeMultiple organ failureSevere infection |
| spellingShingle | Yuki Matsuura Mone Murashita Takayoshi Oyasu Akira Kodate Yoshihiro Sadamoto Akio Endo Hisako Sageshima Takumi Tsuchida Severe invasive streptococcal infection in a patient with COVID-19: A case report IDCases Sepsis COVID-19 Streptococcal infection Streptococcal toxic shock syndrome Multiple organ failure Severe infection |
| title | Severe invasive streptococcal infection in a patient with COVID-19: A case report |
| title_full | Severe invasive streptococcal infection in a patient with COVID-19: A case report |
| title_fullStr | Severe invasive streptococcal infection in a patient with COVID-19: A case report |
| title_full_unstemmed | Severe invasive streptococcal infection in a patient with COVID-19: A case report |
| title_short | Severe invasive streptococcal infection in a patient with COVID-19: A case report |
| title_sort | severe invasive streptococcal infection in a patient with covid 19 a case report |
| topic | Sepsis COVID-19 Streptococcal infection Streptococcal toxic shock syndrome Multiple organ failure Severe infection |
| url | http://www.sciencedirect.com/science/article/pii/S2214250925000241 |
| work_keys_str_mv | AT yukimatsuura severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT monemurashita severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT takayoshioyasu severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT akirakodate severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT yoshihirosadamoto severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT akioendo severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT hisakosageshima severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport AT takumitsuchida severeinvasivestreptococcalinfectioninapatientwithcovid19acasereport |