SARS-CoV-2 Complicated by Sinusitis and Co-Infection with Human Metapneumovirus

R I Med J (2013). 2020 Aug 3;103(6):23-24.

Abstract

A previously healthy 25-year-old Asian male was admitted with acute respiratory failure due to COVID-19 pneumonia to our intensive care unit. He received empiric therapy and higher level of respiratory support via a high flow nasal cannula. Notably, human metapneumovirus was detected from the nasopharyngeal swab by RT-PCR. Six days post-ICU admission, sinusitis was clinically and sonographically detected. SARS-CoV-2 was detected in the fluid aspirated from the antrum. The patient has made an uneventful recovery. Further studies are required to investigate co-infections with SARS-CoV-2 and other viruses.

Keywords: COVID-19; high flow nasal cannula; human metapneumovirus; sinusitis.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Betacoronavirus / isolation & purification*
  • COVID-19
  • Coinfection
  • Coronavirus Infections / complications
  • Coronavirus Infections / diagnosis*
  • Coronavirus Infections / therapy
  • Humans
  • Intensive Care Units
  • Male
  • Metapneumovirus / isolation & purification*
  • Nasopharynx / virology*
  • Pandemics
  • Paramyxoviridae Infections / complications
  • Paramyxoviridae Infections / diagnosis*
  • Paramyxoviridae Infections / therapy
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / diagnosis*
  • Pneumonia, Viral / therapy
  • SARS-CoV-2
  • Sinusitis / diagnostic imaging*