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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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