Palatal Infection by Multidrug Resistant Non Fermenting Gram Negative Bacilli in a COVID-19 Positive Patient Mimicking Black Fungus Infection- A Case Report

ABSTRACT

As the second wave of Coronavirus Disease 2019 (COVID-19) swept through India, many patients developed serious bacterial secondary infections such as pneumonia, sepsis and fungal infections such as mucormycosis. Among the bacterial infections, the most common organisms associated with secondary bacterial infections were Pseudomonas aeruginosa, Acinetobacter baumannil and Stenotrophomonas maltophilia. Here, authors present a rare case of 31-year-old COVID-19 positive male patient with sepsis who developed palatal necrosis due to infection caused by a non fermenting Gram negative bacillus resembling the lesions seen in mucormycosis. The necrotic tissue, bronchoalveolar lavage fluid and blood samples were sent for culture. Blood cultures yielded Elizabethkingella meningosepticum and necrotic tissue yielded Stenotrophomonas maltophilia.