COVID-19 Pneumonia with MRSA Superinfection
Imaging findings
CT chest shows a dense consolidation in the left upper lobe with internal air bronchograms, bronchial debris, and scattered well-circumscribed nodules in both lungs. Sputum culture grew MRSA and PCR was positive for SARS-CoV-2.
Key takeaways
Secondary bacterial pneumonia (especially MRSA or Streptococcus pneumoniae) is a severe complication of viral pneumonias like COVID-19. Superinfection can present with atypical features on CT, such as dense lobar consolidation and multiple nodules, rather than standard ground-glass.
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See all cases from March 14, 2020 →