Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report

Here we present a case of severe post-partum pneumonia that we observed at the end of January 2020. Specimen of blood was cultured and revealed Klebsiella pneumoniae bacteremia. However, the course of infection was atypical and the recovery time particularly long. Subsequently emerged COVID-19 hallm...

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Main Authors: Andrea Busnelli, Alessandro Bulfoni, Andrea Caprotti, Stefano Acerboni, Paolo Emanuele Levi-Setti
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.576865/full
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author Andrea Busnelli
Andrea Busnelli
Alessandro Bulfoni
Andrea Caprotti
Stefano Acerboni
Paolo Emanuele Levi-Setti
author_facet Andrea Busnelli
Andrea Busnelli
Alessandro Bulfoni
Andrea Caprotti
Stefano Acerboni
Paolo Emanuele Levi-Setti
author_sort Andrea Busnelli
collection DOAJ
description Here we present a case of severe post-partum pneumonia that we observed at the end of January 2020. Specimen of blood was cultured and revealed Klebsiella pneumoniae bacteremia. However, the course of infection was atypical and the recovery time particularly long. Subsequently emerged COVID-19 hallmarks suggested to re-evaluate the case. After a multidisciplinary consultation, we concluded that, considering the clinical and imaging characteristics, the most likely hypothesis was that the patient was affected by novel Coronavirus pneumonia. The present case supports the hypothesis that Coronavirus might have circulated in northern Italy for weeks before its official detection.
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spelling doaj.art-64fc9d7343da4aa2b975986d6f6402322022-12-21T20:25:58ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-05-01810.3389/fmed.2021.576865576865Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case ReportAndrea Busnelli0Andrea Busnelli1Alessandro Bulfoni2Andrea Caprotti3Stefano Acerboni4Paolo Emanuele Levi-Setti5Department of Biomedical Sciences, Humanitas University, Milan, ItalyDivision of Gynecology and Reproductive Medicine, Department of Gynecology, Fertility Center, IRCCS Humanitas Research Hospital, Milan, ItalyDivision of Obstetrics and Gynecology, IRCCS Humanitas Research Hospital, Humanitas S. Pio X Hospital, Milan, ItalyDivision of Radiology, IRCCS Humanitas Research Hospital, Humanitas S. Pio X Hospital, Milan, ItalyDivision of Obstetrics and Gynecology, IRCCS Humanitas Research Hospital, Humanitas S. Pio X Hospital, Milan, ItalyDivision of Gynecology and Reproductive Medicine, Department of Gynecology, Fertility Center, IRCCS Humanitas Research Hospital, Milan, ItalyHere we present a case of severe post-partum pneumonia that we observed at the end of January 2020. Specimen of blood was cultured and revealed Klebsiella pneumoniae bacteremia. However, the course of infection was atypical and the recovery time particularly long. Subsequently emerged COVID-19 hallmarks suggested to re-evaluate the case. After a multidisciplinary consultation, we concluded that, considering the clinical and imaging characteristics, the most likely hypothesis was that the patient was affected by novel Coronavirus pneumonia. The present case supports the hypothesis that Coronavirus might have circulated in northern Italy for weeks before its official detection.https://www.frontiersin.org/articles/10.3389/fmed.2021.576865/fullCOVID-19coronaviruspneumoniaKlebsiella pneumoniaepost-partum
spellingShingle Andrea Busnelli
Andrea Busnelli
Alessandro Bulfoni
Andrea Caprotti
Stefano Acerboni
Paolo Emanuele Levi-Setti
Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report
Frontiers in Medicine
COVID-19
coronavirus
pneumonia
Klebsiella pneumoniae
post-partum
title Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report
title_full Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report
title_fullStr Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report
title_full_unstemmed Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report
title_short Post-partum Coronavirus Disease 19 Like Pneumonia Before the COVID-19 Italian Pandemic Outbreak: A Case Report
title_sort post partum coronavirus disease 19 like pneumonia before the covid 19 italian pandemic outbreak a case report
topic COVID-19
coronavirus
pneumonia
Klebsiella pneumoniae
post-partum
url https://www.frontiersin.org/articles/10.3389/fmed.2021.576865/full
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