Navigating the Uncertainties of COVID-19-Associated Aspergillosis: A Comparison With Influenza-Associated Aspergillosis.

Détails

ID Serval
serval:BIB_4FB69C41F305
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Navigating the Uncertainties of COVID-19-Associated Aspergillosis: A Comparison With Influenza-Associated Aspergillosis.
Périodique
The Journal of infectious diseases
Auteur⸱e⸱s
Lamoth F., Lewis R.E., Walsh T.J., Kontoyiannis D.P.
ISSN
1537-6613 (Electronic)
ISSN-L
0022-1899
Statut éditorial
Publié
Date de publication
22/11/2021
Peer-reviewed
Oui
Volume
224
Numéro
10
Pages
1631-1640
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
05/04/2021 10:16
Dernière modification de la notice
12/10/2022 6:38
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