학술논문
Invasive pulmonary aspergillosis associated with COVID‐19 in a kidney transplant recipient.
Document Type
Article
Author
Source
Subject
*PULMONARY aspergillosis
*COVID-19
*KIDNEY transplantation
*SARS-CoV-2
*TRANSPLANTATION of organs, tissues, etc.
*ASPERGILLUS fumigatus
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Language
ISSN
1398-2273
Abstract
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. [ABSTRACT FROM AUTHOR]