1. Invasive pulmonary aspergillosis in COVID-19 critically ill patients: Results of a French monocentric cohort.
- Author
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Versyck M, Zarrougui W, Lambiotte F, Elbeki N, and Saint-Leger P
- Subjects
- Adult, Aged, Aged, 80 and over, Biomarkers, Comorbidity, Female, France epidemiology, Galactose analogs & derivatives, Hospitals, General statistics & numerical data, Humans, Immunocompromised Host, Intensive Care Units statistics & numerical data, Invasive Pulmonary Aspergillosis diagnosis, Male, Mannans blood, Middle Aged, Respiration, Artificial, Respiratory Distress Syndrome therapy, Retrospective Studies, Risk Factors, beta-Glucans blood, COVID-19 complications, Critical Illness, Invasive Pulmonary Aspergillosis complications, Opportunistic Infections complications, Respiratory Distress Syndrome etiology
- Abstract
Introduction: Coronavirus disease 2019 or COVID-19 is a new infectious disease responsible for potentially severe respiratory impairment associated with initial immunosuppression. Similarly to influenza, several authors have described a higher risk of fungal infection after COVID-19, in particular for invasive pulmonary aspergillosis. The main objective here is to define the prevalence of invasive pulmonary aspergillosis (IPA) in a cohort of COVID-19 patients with moderate to severe acute respiratory disease syndrome (ARDS)., Material and Methods: We conducted a large monocentric retrospective study investigating all the ventilated COVID-19 patients with ARDS hospitalized at Valenciennes' general hospital, France, between March 15, 2020 and April 30, 2020. In the center a systematic IPA screening strategy was carried out for all ARDS patients, with weekly tests of serum galactomannan and beta-D-glucan. Bronchoalveolar lavage with culture and chest CT scan were performed when the serum assays were positives., Results: A total of 54 patients were studied. Their median age was 65 years, and 37 of the patients (71%) were male. Two patients had chronic immunosuppression and among all the patients, only 2 non-immunocompromised presented a putative IPA during their stay., Conclusion: The prevalence of IPA in this cohort of COVID-19 patients (3.7%) is not higher than what is described in the other ARDS populations in the literature. These results are however different from the previous publications on COVID-19 patients and must therefore be confirmed by larger and multicentric studies., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)
- Published
- 2021
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