Navigating the Uncertainties of COVID-19-Associated Aspergillosis: A Comparison With Influenza-Associated Aspergillosis.
Details
Serval ID
serval:BIB_4FB69C41F305
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Navigating the Uncertainties of COVID-19-Associated Aspergillosis: A Comparison With Influenza-Associated Aspergillosis.
Journal
The Journal of infectious diseases
ISSN
1537-6613 (Electronic)
ISSN-L
0022-1899
Publication state
Published
Issued date
22/11/2021
Peer-reviewed
Oui
Volume
224
Number
10
Pages
1631-1640
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Invasive pulmonary aspergillosis (IPA) is increasingly recognized as a life-threatening superinfection of severe respiratory viral infections, such as influenza. The pandemic of Coronavirus Disease 2019 (COVID-19) due to emerging SARS-CoV-2 rose concern about the eventuality of IPA complicating COVID-19 in intensive care unit patients. A variable incidence of such complication has been reported, which can be partly attributed to differences in diagnostic strategy and IPA definitions, and possibly local environmental/epidemiological factors. In this article, we discuss the similarities and differences between influenza-associated pulmonary aspergillosis (IAPA) and COVID-19-associated pulmonary aspergillosis (CAPA). Compared to IAPA, the majority of CAPA cases have been classified as putative rather than proven/probable IPA. Distinct physiopathology of influenza and COVID-19 may explain these discrepancies. Whether CAPA represents a distinct entity is still debatable and many questions remain unanswered, such as its actual incidence, the predisposing role of corticosteroids or immunomodulatory drugs, and the indications for antifungal therapy.
Keywords
Antifungal Agents/therapeutic use, Aspergillosis/complications, Aspergillosis/drug therapy, COVID-19/complications, Humans, Influenza, Human/complications, Influenza, Human/drug therapy, Invasive Pulmonary Aspergillosis/complications, Invasive Pulmonary Aspergillosis/diagnosis, Invasive Pulmonary Aspergillosis/drug therapy, Pulmonary Aspergillosis/complications, Pulmonary Aspergillosis/drug therapy, SARS-CoV-2, Aspergillus fumigates, acute respiratory distress syndrome, corticosteroids, flu, intensive care unit, mechanical ventilation, pneumonia
Pubmed
Web of science
Open Access
Yes
Create date
05/04/2021 9:16
Last modification date
12/10/2022 5:38