Coinfection with SARS-CoV-2 and Influenza A Virus in a 32-Year-Old Man

Lew, Sungyub; Manes, Prabhjot; Smith, Brittany

Patient: Male, 32-year-old Final Diagnosis: COVID-19 • influenza • pneumonia Symptoms: Cough • fever • shortness of breath Medication: — Clinical Procedure: — Specialty: Infectious Diseases OBJECTIVE: Rare co-existance of disease or pathology BACKGROUND: There was a growing presumption that coinfection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and another viral respiratory illness was nonexistent. Although there has been an increasing number of coinfection cases since the beginning of the SARS-CoV-2 pandemic, there is still a significant lack of information regarding the symptomatology, treatment, prognosis, and reasoning behind coinfection. This raises concern of the possibility of misdiagnosis or delay in treatment. CASE REPORT: This case report discusses a coinfection of SARS-CoV-2 and Influenza A in a 32-year-old man to highlight that these viruses can coexist within the same patient. This patient unfortunately died of persistent respiratory failure after several days in the ICU. CONCLUSIONS: Coinfection of SARS-CoV-2 and Influenza A can occur and lead to a poor prognosis.