Background: The present case reported a coinfection of five viral and bacterial organisms in a 17-month-old girl, who had not been vaccinated against measles, which further added to the complication of the disease management. The authors believed that the present study makes a significant contribution to the literature because sensitive cases such as a 17-month-old girl with compromised immune state without appropriated vaccinations in a hospital can result in contracting further infections and increase the treatment challenges. Therefore, this case warrants more attention and a proactive approach from the community and physicians in general.

Case Report: This study reports a case of a 17-month-old girl who had severe septic shock caused by coinfection with five viruses and bacteria. Following the infections, the patient developed septic shock that eventually improved with respiratory support, shock management, antibiotic therapy, and supportive treatment. It also was noticed that she had not been vaccinated appropriately. The suitable treatment was performed based on close monitoring of the signs and symptoms and identifying the causative organisms.
• Main symptoms: Following the infections, the patient had severe pneumonia and developed septic shock.
• Diagnosis: The patient was diagnosed with septicemia due to Staphylococcus aureus and coinfection with measles, influenza A, and adenovirus.
• Treatment: Anti-infection by vancomycin and gentamycin, anti-shock by noradrenaline and dopamine, immune system support, isolation, and infection control.

Conclusion: From the present case report, the authors can conclude that vaccination, isolation, and infection control are important for the prevention of coinfection.

Keywords: Coinfection, Viruses, Bacteria, Hospital-acquired infection.

Received 27 Aug 2019 | Revised 12 Nov 2019 | Accepted 19 Nov 2019