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31 March 2023 : Case report  Nigeria

Multidrug-Resistant Kocuria rosea and Methicillin-Resistant Staphylococcus aureus Co-Infection in a Nigerian Patient with COVID-19: A Case Report

Rare coexistence of disease or pathology

Muinah Adenike Fowora ORCID logo1ABCDEFG*, Ibilola A. Omolopo ORCID logo1ABEF, Adenike Aiyedogbon1AE, Adefunke Abioye2BD, Oluwatobi E. Oladele ORCID logo1AB, Ahmed Oluwasegun Tajudeen ORCID logo1EF, Tope Ogunniyan3AB, Abdul-Lateef Olanlege2B, Faustina Uloma Onyeaghasiri4CEF, Idowu Olaide Edu-Muyideen5B, Bamidele Iwalokun ORCID logo1CE, Richard Adegbola ORCID logo5D, Babatunde Lawal Salako1D

DOI: 10.12659/AJCR.938761

Am J Case Rep 2023; 24:e938761

Figure 1. This shows the morphological characteristics of the mixed culture of the methicillin-resistant Staphylococcus aureus and the Kocuria rosea. The figure shows how Kocuria rosea can be missed if using only nutrient agar for presumptive identification. (A) Mixed culture of mannitol fermenting Staphylococcus aureus (yellow coloration) and non-mannitol fermenting Kocuria rosea (pink coloration) on mannitol salt agar. (B) A pure Kocuria rosea on mannitol salt agar. (C) The mixed culture on nutrient agar showing small, pale-cream colonies with the MRSA indistinguishable from the Kocuria rosea (D) Staphylococcus aureus on blood agar showing hemolysis. (E) Kocuria rosea on blood agar showing no hemolysis.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923