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- Title
COVID-19-Associated Pulmonary Aspergillosis, March-August 2020.
- Authors
Salmanton-García, Jon; Sprute, Rosanne; Stemler, Jannik; Bartoletti, Michele; Dupont, Damien; Valerio, Maricela; Garcia-Vidal, Carolina; Falces-Romero, Iker; Machado, Marina; de la Villa, Sofía; Schroeder, Maria; Hoyo, Irma; Hanses, Frank; Ferreira-Paim, Kennio; Giacobbe, Daniele Roberto; Meis, Jacques F.; Gangneux, Jean-Pierre; Rodríguez-Guardado, Azucena; Antinori, Spinello; Sal, Ertan
- Abstract
Pneumonia caused by severe acute respiratory syndrome coronavirus 2 emerged in China at the end of 2019. Because of the severe immunomodulation and lymphocyte depletion caused by this virus and the subsequent administration of drugs directed at the immune system, we anticipated that patients might experience fungal superinfection. We collected data from 186 patients who had coronavirus disease-associated pulmonary aspergillosis (CAPA) worldwide during March-August 2020. Overall, 182 patients were admitted to the intensive care unit (ICU), including 180 with acute respiratory distress syndrome and 175 who received mechanical ventilation. CAPA was diagnosed a median of 10 days after coronavirus disease diagnosis. Aspergillus fumigatus was identified in 80.3% of patient cultures, 4 of which were azole-resistant. Most (52.7%) patients received voriconazole. In total, 52.2% of patients died; of the deaths, 33.0% were attributed to CAPA. We found that the cumulative incidence of CAPA in the ICU ranged from 1.0% to 39.1%.
- Subjects
CHINA; PULMONARY aspergillosis; COVID-19; ADULT respiratory distress syndrome; INTENSIVE care units; ASPERGILLUS fumigatus; PATIENTS' attitudes
- Publication
Emerging Infectious Diseases, 2021, Vol 27, Issue 4, p1077
- ISSN
1080-6040
- Publication type
journal article
- DOI
10.3201/eid2704.204895