Title: | Confirmed invasive pulmonary aspergillosis and COVID-19: The value of postmortem findings to support antemortem management |
Authors: | Santana, Monique Freire Pivoto, Guilherme Alexandre, Márcia Almeida A.Araújo Baía-Da-Silva, Djane Clarys Borba, Mayla Gabriela Da Silva Val, Fernando Almeida Brito-Sousa, José Diego Melo, Gisely Cardoso de 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 Abrahao Neto, João Ricardo Silva Siva, George Alan Villarouco Pasqualotto, Alessandro Lacerda, Marcus V. G. |
Keywords: | azithromycin C reactive protein ceftriaxone chloroquine creatinine enoxaparin furosemide internal transcribed spacer 1 internal transcribed spacer 2 noradrenalin oseltamivir ribosome DNA urea vasoactive agent Aged Article artificial ventilation Aspergillus Aspergillus penicillioides Autopsy bradycardia bronchopneumonia case report clinical article coronavirus disease 2019 cyanosis endotracheal intubation hematocrit histopathology human human tissue hypotension invasive aspergillosis lung infiltrate lymphocytopenia Male neutrophilia nucleotide sequence polymerase chain reaction positive end expiratory pressure real time reverse transcription polymerase chain reaction thorax radiography Autopsy Betacoronavirus complication Coronavirus infection fatality Genetics invasive aspergillosis isolation and purification Lung microbiology pandemic pathology virus pneumonia Aged Aspergillus Autopsy Betacoronavirus Coronavirus Infections Fatal Outcome Humans Invasive Pulmonary Aspergillosis Lung Male Pandemics Pneumonia, Viral |
Issue Date: | 2020 |
metadata.dc.publisher.journal: | Revista da Sociedade Brasileira de Medicina Tropical |
metadata.dc.relation.ispartof: | Volume 53, Número , pgs. 1-4 |
metadata.dc.description.resumo: | 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. © 2020, Sociedade Brasileira de Medicina Tropical. All rights reserved. |
metadata.dc.identifier.doi: | 10.1590/0037-8682-0401-2020 |
Appears in Collections: | Artigos
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