• Mycoses · Feb 2021

    Observational Study

    Prevalence of opportunistic invasive aspergillosis in COVID-19 patients with severe pneumonia.

    • Gonzalo Segrelles-Calvo, Glauber R S Araújo, Estefanía Llopis-Pastor, Javier Carrillo, Marta Hernández-Hernández, Laura Rey, Nestor Rodríguez Melean, Inés Escribano, Esther Antón, Celia Zamarro, Mercedes García-Salmones, and Susana Frases.
    • Servicio de Neumología, Hospital Universitario Rey Juan Carlos, Madrid, España.
    • Mycoses. 2021 Feb 1; 64 (2): 144-151.

    BackgroundAs the global coronavirus pandemic (COVID-19) spreads across the world, new clinical challenges emerge in the hospital landscape. Among these challenges, the increased risk of coinfections is a major threat to the patients. Although still in a low number, due to the short time of the pandemic, studies that identified a significant number of hospitalised patients with COVID-19 who developed secondary fungal infections that led to serious complications and even death have been published.ObjectivesIn this scenario, we aim to determine the prevalence of invasive fungal infections (IFIs) and describe possible associated risk factors in patients admitted due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.Patients/MethodsWe designed an open prospective observational study at the Rey Juan Carlos University Hospital (Mostoles, Spain), during the period from February 1 to April 30, 2020.ResultsIn this article, we reported seven patients with COVID-19-associated pulmonary aspergillosis (CAPA) who had a poor prognosis. Severely ill patients represent a high-risk group; therefore, we must actively investigate the possibility of aspergillosis in all of these patients. Larger cohort studies are needed to unravel the role of COVID-19 immunosuppressive therapy as a risk factor for aspergillosis.ConclusionsAs the pandemic continues to spread across the world, further reports are needed to assess the frequency of emergent and highly resistant reemergent fungal infections during severe COVID-19. These coinfections are leading a significant number of patients with COVID-19 to death due to complications following the primary viral disease.© 2020 Wiley-VCH GmbH.

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