Polymicrobial respiratory infection: a case of multidrug-resistant colonization and viral coinfection in an infant

Aguilar-Gamboa F.R.; Becerra-Gutiérrez L.K.; Aparicio-Sigueñas Y.E.; Reynoso-Tantaleán J.L. · Gaceta Medica Boliviana (2023) · DOI: 10.47993/gmb.v46i2.782

Resumen

A case is presented of a 38-week-old infant admitted with respiratory distress to a hospital in northern Perú. After intubation and connection to mechanical ventilation, antimicrobial treatment and sedoanalgesia were administered. During hospitalization, the patient experienced fever, cough with quintose expectoration, facial rubor, and desaturation. Edema was observed in the eyelids, hands, and feet, but tissue perfusion remained adequate. On the fourth day, the patient had a febrile seizure, respiratory wheezing, and oliguria with hematuria. Treatment changes were made, and transfusions were administered. On the seventh day, using the FilmArray® multiplex PCR panel for etiological diagnosis of respiratory infectious diseases, colonization/infection by multidrug-resistant Acinetobacter baumannii was diagnosed, accompanied by the detection of Serratia marcescens and respiratory syncytial virus. After a prolonged stay, successful extubation was achieved on day 10. On day 24, the patient was discharged without fever, stable vital signs, and without requiring oxygen, only treatment for seizures.

Instituciones: Universidad Privada Antenor Orrego