SARS-CoV-2 and rhinovirus/enterovirus co-infection in a critically ill young adult patient in Colombia

Juan Pablo Orozco-Hernández , Juan José Montoya-Martínez, Manuel Conrado Pacheco-Gallego, Mauricio Céspedes-Roncancio , Gloria Liliana Porras-Hurtado, .

Keywords: Coronavirus infections, pneumonia, ; respiratory distress syndrome, adult, case reports, Rhinovirus, Colombia

Abstract

The current SARS-CoV-2 pandemic has caused a huge global public health problem. We report the case of a young adult patient with laboratory-confirmed SARS-CoV-2. We describe the identification of the virus and the clinical course, diagnosis, and treatment of the infection including her rapid clinical deterioration from the mild initial symptoms, which progressed to multilobar pneumonia requiring admission to the intensive care unit.
This case highlights the importance of establishing a diagnosis based on the clinical findings and the patient’s history bearing in mind the possibility of gastrointestinal symptoms in addition to respiratory ones. Besides, the presence of risk factors should be investigated; in this case, we proposed obesity as a possible risk factor. Furthermore, limitations in diagnostic tests and the possibility of co-infection with other respiratory pathogens are highlighted. We describe the imaging, laboratory findings, and treatment taking into account the limited current evidence.

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  • Juan Pablo Orozco-Hernández Grupo de Investigación Salud Comfamiliar, Clínica Comfamiliar, Pereira, Risaralda, Colombia; Programa de Medicina, Universidad Tecnológica de Pereira, Risaralda, Colombia https://orcid.org/0000-0002-7089-7824
  • Juan José Montoya-Martínez Grupo de Investigación Salud Comfamiliar, Clínica Comfamiliar, Pereira, Risaralda, Colombia https://orcid.org/0000-0002-7734-0770
  • Manuel Conrado Pacheco-Gallego Programa de Medicina, Universidad Tecnológica de Pereira, Risaralda, Colombia; División de Neumología y Endoscopia Respiratoria, Departamento de Medicina Interna, Clínica Comfamiliar, Pereira, Risaralda, Colombia https://orcid.org/0000-0001-6783-1608
  • Mauricio Céspedes-Roncancio División de Neumología y Endoscopia Respiratoria, Departamento de Medicina Interna, Clínica Comfamiliar, Pereira, Risaralda, Colombia https://orcid.org/0000-0002-4717-4353
  • Gloria Liliana Porras-Hurtado Grupo de Investigación Salud Comfamiliar, Clínica Comfamiliar, Pereira, Risaralda, Colombia https://orcid.org/0000-0003-1193-7184

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How to Cite
1.
Orozco-Hernández JP, Montoya-Martínez JJ, Pacheco-Gallego MC, Céspedes-Roncancio M, Porras-Hurtado GL. SARS-CoV-2 and rhinovirus/enterovirus co-infection in a critically ill young adult patient in Colombia. biomedica [Internet]. 2020 Oct. 30 [cited 2024 May 19];40(Supl. 2):34-43. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/5516

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Published
2020-10-30

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