Abstract:
Bullous lung lesions from coronavirus disease 2019 (COVID-19) pneumonia, causing pneumothorax, are a rare complication, affecting up to 1% of infected patients. Raoultella planticola is an aerobic, gram-negative bacteria known to cause opportunistic infection. We present a rare case of spontaneous pneumothorax from rupture of lung bulla as a late sequela from COVID-19 pneumonia and superinfection of the bulla by R. planticola. Although superinfection of bullous lesions is known, this is the first reported case of R. planticola pneumonia in a patient with COVID-19 lung bullae. COVID-19 patients are at heightened risk for bullous lung lesions and superinfection by opportunistic organisms; thus, they should be followed up closely.
摘要:
2019年冠状病毒病(COVID-19)肺炎的大疱性肺部病变,导致气胸,是一种罕见的并发症,影响高达1%的感染患者。扁平Raoultella是一种有氧运动,已知可引起机会性感染的革兰氏阴性菌。我们介绍了一例罕见的肺大泡破裂引起的自发性气胸,这是COVID-19肺炎和R.planticola对大泡的过度感染的晚期后遗症。尽管大疱性病变的重复感染是已知的,这是第一例报告的患有COVID-19肺大疱的患者出现的R.planticola肺炎病例。COVID-19患者大疱性肺部病变和机会性生物重复感染的风险更高;因此,他们应该密切关注。