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COVID-19 Curbside Consults

Recognition and management of respiratory coinfection and secondary bacterial pneumonia in patients with COVID-19

Chao-Ping Wu, MD, Fatima Adhi, MD and Kristin Highland, MD
Cleveland Clinic Journal of Medicine May 2020, ccc015; DOI: https://doi.org/10.3949/ccjm.87a.ccc015
Chao-Ping Wu
Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic
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Fatima Adhi
Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic
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Kristin Highland
Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic
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ABSTRACT

The pathophysiology of COVID-19 is not fully known. Respiratory infection caused by more than one viral pathogen (viral co-infection) or both viral and bacterial pathogens (combined viral and bacterial pneumonia) have been described. Secondary bacterial pneumonia can follow the initial phase of viral respiratory infection or occur during the recovery phase. No obvious pattern or guidelines exist for viral coinfection, combined viral and bacterial pneumonia, or secondary bacterial pneumonia in the context of SARS-CoV-2. Based on existing clinical data and experience with similar viruses such as influenza and SARS-CoV, the management approach in the context of COVID-19 should, ideally, take into consideration the overall presentation as well as the trajectory of illness.

  • Copyright © 2020 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 88 (1)
Cleveland Clinic Journal of Medicine
Vol. 88, Issue 1
1 Jan 2021
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Recognition and management of respiratory coinfection and secondary bacterial pneumonia in patients with COVID-19
Chao-Ping Wu, Fatima Adhi, Kristin Highland
Cleveland Clinic Journal of Medicine May 2020, ccc015; DOI: 10.3949/ccjm.87a.ccc015

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Recognition and management of respiratory coinfection and secondary bacterial pneumonia in patients with COVID-19
Chao-Ping Wu, Fatima Adhi, Kristin Highland
Cleveland Clinic Journal of Medicine May 2020, ccc015; DOI: 10.3949/ccjm.87a.ccc015
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