Yes. Microbes once in the blood stream can cross/bypass the barrier by a few ways such as by crossing endothelial cells, crossing loosened or disrupted tight junctions or by entering a host cell that then traverses the barrier.
Normally, intact cell-mediated immunity prevents harmless airway colonization of these types of organisms from entering the blood stream or causing clinical infection hence why they're called opportunistic infections. Rare in immunocompetent patients.
Normally, intact cell-mediated immunity prevents harmless airway colonization of these types of organisms from entering the blood stream or causing clinical infection hence why they're called opportunistic infections. Rare in immunocompetent patients.