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22 February 2023 : Case report  Nigeria

[In Press] 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 In Press; DOI: 10.12659/AJCR.938761  

Available online: 2023-02-22, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule

Abstract

BACKGROUND
Bacterial Infections, especially, of the respiratory system, have been reported as one of the medical concerns in patients with the Coronavirus Disease-2019 (COVID-19), particularly those with multiple co-morbidities. We present a case of a diabetic patient with co-infection of multi-drug-resistant Kocuria rosea and methicillin-resistant Staphylococcus aureus (MRSA) who contracted COVID-19.
CASE REPORT
A 72-year-old man with diabetes presented with symptoms including cough, chest pain, urinary incontinence, respiratory distress, sore throat, fever, diarrhea, loss of taste, and anosmia and was confirmed to have COVID-19. At admission, he was also found to have sepsis. MRSA was isolated in conjunction with another organism, resembling coagulase-negative Staphylococcus, which was misidentified using commercial biochemical testing systems. The strain was finally confirmed to be Kocuria rosea by 16S rRNA gene sequencing. Both strains were highly resistant to multiple classes of antibiotics, but the Kocuria rosea was resistant to all the cephalosporins, fluoroquinolones, and macrolides tested. The use of ceftriaxone and ciprofloxacin did not improve his condition, which ultimately led to his death.
CONCLUSIONS
This case report shows that the presence of multi-drug-resistant bacteria infections can be fatal in patients with COVID-19, especially in patients with other co-morbidities like diabetes. This case report also shows that biochemical testing may be inadequate in identifying emerging bacterial infections and there is a need to include proper bacterial screening and treatment in the management of COVID-19, especially in patients with other co-morbidities and with indwelling devices.

Keywords: Coinfection; COVID-19; Kocuria rosea; Sepsis; Methicillin-Resistant Staphylococcus aureus

SARS-CoV-2/COVID-19

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22 February 2023 : Case report  Nigeria

Multidrug-Resistant Kocuria rosea and Methicillin-Resistant Staphylococcus aureus Co-Infection in a Nigeria...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938761  

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Am J Case Rep In Press; DOI: 10.12659/AJCR.939489  

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Am J Case Rep In Press; DOI: 10.12659/AJCR.939650  

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Am J Case Rep In Press; DOI: 10.12659/AJCR.939530  

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