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Lung Aspergillus niger infection after SARS-CoV2
Romanian Archives of Microbiology and Immunology ; 81(1):53-55, 2022.
Article in English | CAB Abstracts | ID: covidwho-2324736
ABSTRACT
A 64-year-old never-smoker man, with professional exposure, presented to Marius Nasta Pneumophtisiology Institute for fatigability to effort, in the context of severe SARS-COV2 infection one month previously. His medical history includes pulmonary tuberculosis (55 years ago) and newly diagnosed type II diabetes (261 mg/dL glycemia). The thoracic tomography computer in the immediate post-COVID period (Fig. 1A) revealed the presence of glass ground lesions and a 3 cm nodule with cystic degeneration in the upper left lobe. A gross examination of the specimen identified a condensation area of 2.5 cm diameter, brown-grey colored, with necrosis and central ulceration. Microscopic examination showed the presence of bronchiectasis with squamous metaplasia of the epithelium, which appears ulcerated;numerous calcium oxalate crystals with adjacent foreign body granulomatous reaction;endobronchial are present fibrinous and inflammatory debris, brown-black pigment, and septate, dichotomous branching hyphae, suggestive of Aspergillus spp. A periodic acid-Schiff stain was performed, identifying the fungal hyphae. The histopathological diagnosis was bronchiectasis supra-infected and colonized with fungal filaments (Aspergillus niger).
Keywords
Prion; Viral; Bacterial and Fungal Pathogens of Humans [VV210]; Diagnosis of Human Disease [VV720]; Non-communicable Human Diseases and Injuries [VV600]; Nutrition related Disorders and Therapeutic Nutrition [VV130]; human diseases; coronavirus disease 2019; viral diseases; complications; immunocompromised hosts; opportunistic infections; aspergillosis; mycoses; case reports; clinical aspects; occupational health; tuberculosis; mycobacterial diseases; type 2 diabetes; respiratory diseases; lesions; necrosis; ulcers; bronchiectasis; squamous cell carcinoma; metaplasia; neoplasms; inflammation; hyphae; diagnosis; diagnostic techniques; histopathology; computed tomography; infections; bacterial diseases; man; Severe acute respiratory syndrome coronavirus 2; Aspergillus niger; Mycobacterium tuberculosis; Aspergillus; Mycobacterium; Romania; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; Trichocomaceae; Eurotiales; Eurotiomycetes; Pezizomycotina; Ascomycota; fungi; Mycobacteriaceae; Corynebacterineae; Actinomycetales; Actinobacteridae; Actinobacteria; Bacteria; prokaryotes; Balkans; Southern Europe; Europe; European Union Countries; upper-middle income countries; very high Human Development Index countries; SARS-CoV-2; viral infections; clinical picture; mycobacterial infections; lung diseases; cancers; Rumania; bacterial infections; bacterioses; bacterium
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Collection: Databases of international organizations Database: CAB Abstracts Type of study: Prognostic study Topics: Long Covid Language: English Journal: Romanian Archives of Microbiology and Immunology Year: 2022 Document Type: Article

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Collection: Databases of international organizations Database: CAB Abstracts Type of study: Prognostic study Topics: Long Covid Language: English Journal: Romanian Archives of Microbiology and Immunology Year: 2022 Document Type: Article