Open AccessPalatal Infection by Multidrug Resistant Non Fermenting Gram Negative Bacilli in a COVID-19 Positive Patient Mimicking Black Fungus Infection- A Case Report
Author(s) -
Lino Varghese Koshy,
Am bujavalli Balakrishnan,
Jaison Jayakaran,
Priyadarshini Shanmugam
Publication year - 2022
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2022/52879.16125
Subject(s) - stenotrophomonas maltophilia , microbiology and biotechnology , pseudomonas aeruginosa , acinetobacter baumannii , pneumonia , mucormycosis , biology , stenotrophomonas , bronchoalveolar lavage , sepsis , klebsiella pneumonia , bacterial pneumonia , antibiotics , medicine , lung , immunology , bacteria , pseudomonas , pathology , genetics
As the second wave of Coronavirus Disease 2019 (COVID-19) swept through India, many patients developed serious bacterial secondary infections such as pneumonia, sepsis and fungal infections such as mucormycosis. Among the bacterial infections, the most common organisms associated with secondary bacterial infections were Pseudomonas aeruginosa, Acinetobacter baumannii and Stenotrophomonas maltophilia. Here, authors present a rare case of 31-year-old COVID-19 positive male patient with sepsis who developed palatal necrosis due to infection caused by a non fermenting Gram negative bacillus resembling the lesions seen in mucormycosis. The necrotic tissue, bronchoalveolar lavage fluid and blood samples were sent for culture. Blood cultures yielded Elizabethkingella meningosepticum and necrotic tissue yielded Stenotrophomonas maltophilia.