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Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring AMR bacterial pneumonia

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Title: Post-acute COVID-19 associated with evidence of bystander T-cell activation and a recurring AMR bacterial pneumonia
Authors: Gregorova, M
Morse, D
Brignoli, T
Steventon, J
Hamilton, F
Albur, M
Arnold, D
Thomas, M
Halliday, A
Baum, H
Rice, C
Avison, MB
Davidson, AD
Santopaolo, M
Oliver, E
Goenka, A
Finn, A
Wooldridge, L
Amulic, B
Boyton, RJ
Altmann, DM
Butler, DK
McMurray, C
Stockton, J
Nicholls, S
Cooper, C
Loman, N
Cox, MJ
Rivino, L
Massey, RC
Item Type: Journal Article
Abstract: Here we describe the case of a COVID-19 patient who developed recurring ventilator-associated pneumonia caused by Pseudomonas aeruginosa that acquired increasing levels of antimicrobial resistance (AMR) in response to treatment. Metagenomic analysis revealed the AMR genotype, while immunological analysis revealed massive and escalating levels of T-cell activation. These were both SARS-CoV-2 and P. aeruginosa specific, and bystander activated, which may have contributed to this patient's persistent symptoms and radiological changes.
Issue Date: 17-Dec-2020
Date of Acceptance: 16-Dec-2020
URI: http://hdl.handle.net/10044/1/85203
DOI: 10.7554/eLife.63430
ISSN: 2050-084X
Publisher: eLife Sciences Publications Ltd
Journal / Book Title: eLife
Volume: 9
Copyright Statement: Copyright Gregorova et al. This article is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use and redistribution provided that the original author and source are credited.
Sponsor/Funder: Welton Foundation
National Institutes of Health
Biotechnology and Biological Sciences Research Council (BBSRC)
Wellcome Trust
Versus Arthritis
Commission of the European Communities
Funder's Grant Number: N/A
HHSN272200900046C
BB/H005439/1
100046/Z/12/Z
21135
860325
Keywords: human
infectious disease
microbiology
human
infectious disease
microbiology
0601 Biochemistry and Cell Biology
Publication Status: Published online
Conference Place: England
Online Publication Date: 2020-12-17
Appears in Collections:Department of Immunology and Inflammation
Department of Infectious Diseases
Imperial College London COVID-19



This item is licensed under a Creative Commons License Creative Commons