Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature

<p dir="ltr">Coronavirus Disease 2019 (COVID-19)-associated pulmonary aspergillosis is an emerging entity. We report two fatal cases of putative COVID-19-associated pulmonary aspergillosis. Both cases were diagnosed on the basis of respiratory tract cultures yielding Aspergillus spec...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Shiema Abdalla (9538596) (author)
مؤلفون آخرون: Muna A. Almaslamani (9538548) (author), Samar M. Hashim (17100202) (author), Abdulsalam S. Ibrahim (17100205) (author), Ali S. Omrani (9590116) (author)
منشور في: 2020
الموضوعات:
الوسوم: إضافة وسم
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author Shiema Abdalla (9538596)
author2 Muna A. Almaslamani (9538548)
Samar M. Hashim (17100202)
Abdulsalam S. Ibrahim (17100205)
Ali S. Omrani (9590116)
author2_role author
author
author
author
author_facet Shiema Abdalla (9538596)
Muna A. Almaslamani (9538548)
Samar M. Hashim (17100202)
Abdulsalam S. Ibrahim (17100205)
Ali S. Omrani (9590116)
author_role author
dc.creator.none.fl_str_mv Shiema Abdalla (9538596)
Muna A. Almaslamani (9538548)
Samar M. Hashim (17100202)
Abdulsalam S. Ibrahim (17100205)
Ali S. Omrani (9590116)
dc.date.none.fl_str_mv 2020-08-22T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.idcr.2020.e00935
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Fatal_Coronavirus_Disease_2019-associated_Pulmonary_Aspergillosis_A_Report_of_Two_Cases_and_Review_of_the_Literature/24249856
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
COVID-19
aspergillosis
ICU
viral pneumonia
dc.title.none.fl_str_mv Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Coronavirus Disease 2019 (COVID-19)-associated pulmonary aspergillosis is an emerging entity. We report two fatal cases of putative COVID-19-associated pulmonary aspergillosis. Both cases were diagnosed on the basis of respiratory tract cultures yielding Aspergillus species and otherwise unexplained clinical and radiological deterioration. Existing published literature on COVID-19-associated pulmonary aspergillosis indicate poor outcomes and high mortality. CAPA should be considered in patients with critical COVID-19 who have unexplained progressive respiratory failure despite optimized supportive care. Diagnostic work-up should be initiated as early as possible and should ideally include fungal cultures, galactomannan detection and Aspergillus PCR on tracheal aspirates or broncho-alveolar lavage fluid. Empiric systemic antifungal therapy may be justified in selected cases, pending diagnostic work up results. Large, multi-center studies are required to further understand the pathogenesis of invasive aspergillosis in COVID-19, and the optimal diagnostic and treatment strategies.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2020.e00935" target="_blank">https://dx.doi.org/10.1016/j.idcr.2020.e00935</a></p>
eu_rights_str_mv openAccess
id Manara2_c98dd134e3702a2fa2787954202b21a8
identifier_str_mv 10.1016/j.idcr.2020.e00935
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24249856
publishDate 2020
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spelling Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the LiteratureShiema Abdalla (9538596)Muna A. Almaslamani (9538548)Samar M. Hashim (17100202)Abdulsalam S. Ibrahim (17100205)Ali S. Omrani (9590116)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesCOVID-19aspergillosisICUviral pneumonia<p dir="ltr">Coronavirus Disease 2019 (COVID-19)-associated pulmonary aspergillosis is an emerging entity. We report two fatal cases of putative COVID-19-associated pulmonary aspergillosis. Both cases were diagnosed on the basis of respiratory tract cultures yielding Aspergillus species and otherwise unexplained clinical and radiological deterioration. Existing published literature on COVID-19-associated pulmonary aspergillosis indicate poor outcomes and high mortality. CAPA should be considered in patients with critical COVID-19 who have unexplained progressive respiratory failure despite optimized supportive care. Diagnostic work-up should be initiated as early as possible and should ideally include fungal cultures, galactomannan detection and Aspergillus PCR on tracheal aspirates or broncho-alveolar lavage fluid. Empiric systemic antifungal therapy may be justified in selected cases, pending diagnostic work up results. Large, multi-center studies are required to further understand the pathogenesis of invasive aspergillosis in COVID-19, and the optimal diagnostic and treatment strategies.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2020.e00935" target="_blank">https://dx.doi.org/10.1016/j.idcr.2020.e00935</a></p>2020-08-22T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.idcr.2020.e00935https://figshare.com/articles/journal_contribution/Fatal_Coronavirus_Disease_2019-associated_Pulmonary_Aspergillosis_A_Report_of_Two_Cases_and_Review_of_the_Literature/24249856CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/242498562020-08-22T00:00:00Z
spellingShingle Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
Shiema Abdalla (9538596)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
COVID-19
aspergillosis
ICU
viral pneumonia
status_str publishedVersion
title Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
title_full Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
title_fullStr Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
title_full_unstemmed Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
title_short Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
title_sort Fatal Coronavirus Disease 2019-associated Pulmonary Aspergillosis; A Report of Two Cases and Review of the Literature
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
COVID-19
aspergillosis
ICU
viral pneumonia