Ülkü SİYAH, Salih CESUR, Gunay TUNCER ERTEM, Taliha KARAKÖK, Esra KAYA KILIÇ, Cigdem ATAMAN HATİPOGLU, Sami KINIKLI

COVID-19 pnömonisi ile birlikte akciğerde kaviter lezyonla seyreden Klebsiella pneumoniae pnömoni olgusu

Hastanede yatan hastalarda COVID-19 pnömonisini ile birlikte veya takiben bakteriyel pnömoni gelişebilir. COVID-19 pnömonisi ile birlikte bakteriyel pnömoni gelişen hastalarda mortalite oranlarının yüksek olduğu bildirilmiştir. Bu yazıda, toraks bilgisayarlı tomografisi ile olası COVID-19 pnömonisi tanısı konulan ve sonrasında Klebsiella pneumoniae (K. pneumoniae) ’ya bağlı sekonder bakteriyel pnömoni 63 yaşında erkek hasta sunuldu. COVID-19 pnömonisi ve K. pneumoniae’ya bağlı uygun antimikrobiyal tedavi sonrasında klinik ve laboratuar bulguları düzelen hasta taburcu edildi. Sonuç olarak, COVID-19 pnömonisi tedavisine rağmen klinik ve laboratuar bulguları düzelmeyen hastalarda klinik tabloya sekonder bakteriyel pnömoni etkenlerinin eklenmiş olabileceği akılda tutulmalıdır.

Anahtar Kelimeler:

COVID-19, bakteriyel pnömoni, koinfeksiyon, Klebsiella pneumoniae

A case of Klebsiella pneumoniae pneumonia with a cavitary lesion in the lung with COVID-19 pneumonia

Bacterial pneumonia may develop with or following COVID-19 pneumonia in hospitalized patients. It has been reported that mortality rates are high in patients who develop bacterial pneumonia together with COVID-19 pneumonia. In this article, a 63-year-old male patient who was diagnosed with probable COVID-19 pneumonia by thorax computed tomography and then secondary bacterial pneumonia due to Klebsiella pneumoniae (K. pneumoniae) is presented. The patient, whose clinical and laboratory findings improved after COVID-19 pneumonia and appropriate antimicrobial therapy due to K. pneumoniae was discharged. In conclusion, it should be kept in mind that secondary bacterial pneumonia agents may be added to the clinical picture in patients whose clinical and laboratory findings do not improve despite the treatment of COVID-19 pneumonia.

Keywords:

COVID-19, bacterial pneumonia, coinfection, Klebsiella pneumoniae,

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