Background The spectrum of clinical manifestations and differential diagnosis associated with coronavirus disease 2019 is broad, ranging from fever and cutaneous eruptions to respiratory distress or even neurological disorders. Coexisting multipathogen infections significantly increase the complexity of the proper diagnostic and therapeutic approach and correlate with the rate of intensive care unit admissions and in-hospital mortality. Case presentation We present a case of multipathogen respiratory infection with severe acute respiratory syndrome coronavirus 2, varicella zoster virus, and polymicrobial tracheobronchitis in a 48-year-old Caucasian male hospitalized after traumatic brain injury. The patient tested positive for severe acute respiratory syndrome coronavirus 2 infection upon admission. During his stay in the intensive care unit, the patient developed a vesicular exanthema along with respiratory failure and signs of septic shock. Conclusion This case of an adult presenting with severe acute respiratory syndrome coronavirus 2 infection and simultaneous primary varicella zoster virus infection illustrates the importance of considering coinfections in patients with coronavirus disease 2019 with unusual clinical manifestations.
【저자키워드】 COVID-19, SARS-CoV-2, Coinfection, Varicella zoster virus, Chickenpox, COVID-19-related skin lesions, 【초록키워드】 coronavirus disease, coronavirus, Hospitalized, Respiratory failure, intensive care, Infection, diagnostic, virus, Brain, clinical manifestations, respiratory infection, Fever, male, Patient, Septic shock, virus infection, Neurological disorders, Admission, differential diagnosis, in-hospital mortality, Therapeutic approach, Injury, distress, Exanthema, clinical manifestation, acute respiratory syndrome, positive, varicella, tested, significantly, the patient, presenting, 【제목키워드】 coronavirus, virus, Case report, acute respiratory syndrome, varicella,