Coinfection of Influenza Virus and Group A Streptococcus in an Adult Suspected with Infectious Mononucleosis by Epstein-Barr Virus Infection

Masafumi Seki*, Nozomi Oikawa, Maya Hariu and Yuji Watanabe

The patient was a 21 year-old male who showed high fever and an influenza virus B antigen positive nasal specimen. He was initially suspected as influenza-related bronchitis and pharyngitis by group A Streptococcus; however, his fever, sore throat and skin eruption did not improve although he was administered anti-influenza drugs and amoxicillin for four days. He was admitted to our hospital and underwent microbial and serological examinations. Serology indicated recent Epstein-Barr infections. His symptoms and fever declined during drug free observation. He was finally diagnosed as having a Epstein- Barr virus infection followed by coinfection of influenza B and group A Streptococcus with penicillin allergy, which may be relatively common in adults, and should be kept in mind.

Keywords: Influenza virus; Epstein-Barr virus; Group A Streptococcus: Co-infection; Infectious mononucleosis

Published on: Dec 21, 2016 Pages: 5-7

Full Text PDF Full Text HTML DOI: 10.17352/gjcv.000002
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