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Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
Santana, Monique Freire, Pivoto, Guilherme, Alexandre, Márcia A. Araujo, Baía-da-Silva, Djane Clarys, Borba, Mayla Gabriela da Silva, Val, Fernando Almeida, Brito-Sousa, Jose Diego, Melo, Gisely Cardoso, Monteiro, Wuelton Marcelo, Souza, João Vicente Braga, Pinheiro, Silviane Bezerra, Ferreira, Luiz Carlos Lima, Naveca, Felipe Gomes, Nascimento, Valdinete Alves, Corado, André Lima Guerra, Hajjar, Ludhmila Abrahão, Silva Neto, João Ricardo, Siva, George Alan Villarouco, Pasqualotto, Alessandro C.; Lacerda, Marcus Vinícius Guimarães.
Rev. Soc. Bras. Med. Trop ; 53:e20200401-e20200401, 2020.
Article in English | LILACS (Americas) | ID: grc-742847

ABSTRACT

We present postmortem evidence of invasive pulmonary aspergillosis (IPA) in a patient with severe COVID-19. Autopsies of COVID-19 confirmed cases were performed. The patient died despite antimicrobials, mechanical ventilation, and vasopressor support. Histopathology and peripheral blood galactomannan antigen testing confirmed IPA. Aspergillus penicillioides infection was confirmed by nucleotide sequencing and BLAST analysis. Further reports are needed to assess the occurrence and frequency of IPA in SARS-CoV-2 infections, and how they interact clinically.

2.
Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management.
Santana, Monique Freire; Pivoto, Guilherme; Alexandre, Márcia A Araujo; Baía-da-Silva, Djane Clarys; Borba, Mayla Gabriela da Silva; Val, Fernando Almeida; Brito-Sousa, Jose Diego; Melo, Gisely Cardoso; Monteiro, Wuelton Marcelo; Souza, João Vicente Braga; Pinheiro, Silviane Bezerra; Ferreira, Luiz Carlos Lima; Naveca, Felipe Gomes; Nascimento, Valdinete Alves; Corado, André Lima Guerra; Hajjar, Ludhmila Abrahão; Silva Neto, João Ricardo; Siva, George Alan Villarouco; Pasqualotto, Alessandro C; Lacerda, Marcus Vinícius Guimarães.
Rev Soc Bras Med Trop ; 53: e20200401, 2020.
Article in English | MEDLINE | ID: covidwho-636312

ABSTRACT

We present postmortem evidence of invasive pulmonary aspergillosis (IPA) in a patient with severe COVID-19. Autopsies of COVID-19 confirmed cases were performed. The patient died despite antimicrobials, mechanical ventilation, and vasopressor support. Histopathology and peripheral blood galactomannan antigen testing confirmed IPA. Aspergillus penicillioides infection was confirmed by nucleotide sequencing and BLAST analysis. Further reports are needed to assess the occurrence and frequency of IPA in SARS-CoV-2 infections, and how they interact clinically.


Subject(s)
Aspergillus/isolation & purification , Betacoronavirus , Coronavirus Infections/pathology , Invasive Pulmonary Aspergillosis/pathology , Pneumonia, Viral/pathology , Aged , Aspergillus/genetics , Autopsy , COVID-19 , Coronavirus Infections/complications , Fatal Outcome , Humans , Invasive Pulmonary Aspergillosis/complications , Lung/microbiology , Male , Pandemics , Pneumonia, Viral/complications , SARS-CoV-2
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