A case of Bartonellosis presenting as a puzzling multisystem disorder complicated by nosocomial COVID-19 infection.

• 发表时间: Aug 2021 19
• 来源期刊: BMJ Case Rep
• DOI: 10.1136/bcr-2021-244002
• PMID: 34413042
• 文章类型: Case Reports
• 作者列表: Garland H,Stoll S,Patel S,Mogal R

关键词: COVID-19; CPAP; drugs: infectious diseases; infections; nosocomial infections

Mesh: Bartonella Infections; COVID-19; Cross Infection; Fever of Unknown Origin; Humans; Male; Middle Aged; Pandemics; SARS-CoV-2

Abstract

The most commonly considered infection with a Bartonella species is cat-scratch disease caused by Bartonella henselae Here, we discuss a unique case of a 60-year-old man who presented with Bartonella infection complicated by nosocomial COVID-19. He was admitted with a history of chest pain, persistent fever, rash and influenza-like symptoms. Positive Bartonella serology confirmed diagnosis and the patient developed complications of pericardial effusion in addition to COVID-19 infection, requiring non-invasive ventilation and admission to the intensive care unit. We discuss his symptoms, investigations, treatment and outcomes, while also highlighting the challenges of assessing patients presenting with fever of unknown origin during the COVID-19 pandemic.