Author: Trujillo, Hernando; Fernández-Ruiz, Mario; Gutiérrez, Eduardo; Sevillano, Ãngel; Caravaca-Fontán, Fernando; Morales, Enrique; López-Medrano, Francisco; Aguado, José MarÃa; Praga, Manuel; Andrés, Amado
Title: Invasive pulmonary aspergillosis associated to COVID-19 in a kidney transplant recipient. Cord-id: 61gw0hla Document date: 2020_11_13
ID: 61gw0hla
Snippet: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) might increase the risk of invasive pulmonary aspergillosis (IPA). Although several case reports and small series have been reported in the general population, scarce information is available regarding coronavirus disease 2019 (COVID-19)-associated IPA in the setting of solid organ transplantation. We describe a case of a kidney transplant recipient with severe COVID-19 that was subsequently diagnosed with probable IPA on the basis of
Document: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) might increase the risk of invasive pulmonary aspergillosis (IPA). Although several case reports and small series have been reported in the general population, scarce information is available regarding coronavirus disease 2019 (COVID-19)-associated IPA in the setting of solid organ transplantation. We describe a case of a kidney transplant recipient with severe COVID-19 that was subsequently diagnosed with probable IPA on the basis of the repeated isolation of Aspergillus fumigatus in sputum cultures, repeatedly increased serum (1→3)-β-d-glucan levels, and enlarging cavitary nodules in the CT scan. The evolution was favorable after initiation of isavuconazole and nebulized liposomal amphotericin B combination therapy and the withdrawal of immunosuppression.
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