Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)

Invasive aspergillosis is a life-threatening complication in patients with severe influenza and COVID-19 in intensive care units. Risk factors for the invasive aspergillosis development are transitory immunosuppression associated with severe influenza and COVID-19, as well as the use of glucocortico...

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Main Authors: N. N. Klimko, O. V. Shadrivova
Format: Article
Language:Russian
Published: Journal Infectology 2021-12-01
Series:Журнал инфектологии
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Online Access:https://journal.niidi.ru/jofin/article/view/1265
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author N. N. Klimko
O. V. Shadrivova
author_facet N. N. Klimko
O. V. Shadrivova
author_sort N. N. Klimko
collection DOAJ
description Invasive aspergillosis is a life-threatening complication in patients with severe influenza and COVID-19 in intensive care units. Risk factors for the invasive aspergillosis development are transitory immunosuppression associated with severe influenza and COVID-19, as well as the use of glucocorticosteroids and immunosuppressive therapy. In the presence of risk factors, suspected clinical and radiological signs of invasive aspergillosis, bronchoscopy and examination of material from the lower respiratory tract are necessary: test for galactomannan, microscopy with white calcofluor staining and inoculation on Sabouraud agar medium. Voriconazole or are recommended as first-line treatment for invasive aspergillosis in patients with severe influenza and COVID-19. Amphotericin B Liposomal, Amphotericin B Lipid Complex, and Caspofungin are the alternative options for the invasive aspergillosis treatment. Combination therapy is possible. It is necessary to control the underlying disease with eliminate or reduce the severity of risk factors.
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spelling doaj-art-a35ba558de7f457694de32cf16cb3a552025-08-20T03:38:31ZrusJournal InfectologyЖурнал инфектологии2072-67322021-12-01134142410.22625/2072-6732-2021-13-4-14-24948Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)N. N. Klimko0O. V. Shadrivova1North-Western State Medical University named after I.I. MechnikovNorth-Western State Medical University named after I.I. MechnikovInvasive aspergillosis is a life-threatening complication in patients with severe influenza and COVID-19 in intensive care units. Risk factors for the invasive aspergillosis development are transitory immunosuppression associated with severe influenza and COVID-19, as well as the use of glucocorticosteroids and immunosuppressive therapy. In the presence of risk factors, suspected clinical and radiological signs of invasive aspergillosis, bronchoscopy and examination of material from the lower respiratory tract are necessary: test for galactomannan, microscopy with white calcofluor staining and inoculation on Sabouraud agar medium. Voriconazole or are recommended as first-line treatment for invasive aspergillosis in patients with severe influenza and COVID-19. Amphotericin B Liposomal, Amphotericin B Lipid Complex, and Caspofungin are the alternative options for the invasive aspergillosis treatment. Combination therapy is possible. It is necessary to control the underlying disease with eliminate or reduce the severity of risk factors.https://journal.niidi.ru/jofin/article/view/1265invasive aspergillosisaspergillus spp.covid-19capa
spellingShingle N. N. Klimko
O. V. Shadrivova
Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)
Журнал инфектологии
invasive aspergillosis
aspergillus spp.
covid-19
capa
title Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)
title_full Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)
title_fullStr Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)
title_full_unstemmed Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)
title_short Invasive aspergillosis a complication severe respiratory viral infections (influenza and COVID-19)
title_sort invasive aspergillosis a complication severe respiratory viral infections influenza and covid 19
topic invasive aspergillosis
aspergillus spp.
covid-19
capa
url https://journal.niidi.ru/jofin/article/view/1265
work_keys_str_mv AT nnklimko invasiveaspergillosisacomplicationsevererespiratoryviralinfectionsinfluenzaandcovid19
AT ovshadrivova invasiveaspergillosisacomplicationsevererespiratoryviralinfectionsinfluenzaandcovid19