Cargando…

Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management

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 galactomanna...

Descripción completa

Detalles Bibliográficos
Autores principales: 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, João Ricardo, Siva, George Alan Villarouco, Pasqualotto, Alessandro C., Lacerda, Marcus Vinícius Guimarães
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Medicina Tropical - SBMT 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341831/
https://www.ncbi.nlm.nih.gov/pubmed/32638890
http://dx.doi.org/10.1590/0037-8682-0401-2020
_version_ 1783555314250940416
author 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, João Ricardo
Siva, George Alan Villarouco
Pasqualotto, Alessandro C.
Lacerda, Marcus Vinícius Guimarães
author_facet 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, João Ricardo
Siva, George Alan Villarouco
Pasqualotto, Alessandro C.
Lacerda, Marcus Vinícius Guimarães
author_sort Santana, Monique Freire
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7341831
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Sociedade Brasileira de Medicina Tropical - SBMT
record_format MEDLINE/PubMed
spelling pubmed-73418312020-07-10 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, João Ricardo Siva, George Alan Villarouco Pasqualotto, Alessandro C. Lacerda, Marcus Vinícius Guimarães Rev Soc Bras Med Trop Case Report 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. Sociedade Brasileira de Medicina Tropical - SBMT 2020-07-03 /pmc/articles/PMC7341831/ /pubmed/32638890 http://dx.doi.org/10.1590/0037-8682-0401-2020 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Case Report
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, João Ricardo
Siva, George Alan Villarouco
Pasqualotto, Alessandro C.
Lacerda, Marcus Vinícius Guimarães
Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
title Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
title_full Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
title_fullStr Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
title_full_unstemmed Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
title_short Confirmed Invasive Pulmonary Aspergillosis and COVID-19: the value of postmortem findings to support antemortem management
title_sort confirmed invasive pulmonary aspergillosis and covid-19: the value of postmortem findings to support antemortem management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341831/
https://www.ncbi.nlm.nih.gov/pubmed/32638890
http://dx.doi.org/10.1590/0037-8682-0401-2020
work_keys_str_mv AT santanamoniquefreire confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT pivotoguilherme confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT alexandremarciaaaraujo confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT baiadasilvadjaneclarys confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT borbamaylagabrieladasilva confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT valfernandoalmeida confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT britosousajosediego confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT melogiselycardoso confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT monteirowueltonmarcelo confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT souzajoaovicentebraga confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT pinheirosilvianebezerra confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT ferreiraluizcarloslima confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT navecafelipegomes confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT nascimentovaldinetealves confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT coradoandrelimaguerra confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT hajjarludhmilaabrahao confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT silvajoaoricardo confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT sivageorgealanvillarouco confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT pasqualottoalessandroc confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement
AT lacerdamarcusviniciusguimaraes confirmedinvasivepulmonaryaspergillosisandcovid19thevalueofpostmortemfindingstosupportantemortemmanagement