Evidence map›Paper›PMID 29454654›Full record

ReviewDiagnostic microbiology and infectious disease2018

Invasive pulmonary aspergillosis and influenza co-infection in immunocompetent hosts: case reports and review of the literature.

Melisa M Shah, Eric I Hsiao, Carl M Kirsch, Amit Gohil, Supriya Narasimhan, David A Stevens

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in Diagnostic microbiology and infectious disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Melisa M ShahSanta Clara Valley Medical Center, 751 S. Bascom Ave, San Jose, CA, 95128-2699, USA; Stanford University School of Medicine, Department of Medicine, Stanford, CA 94305. Electronic address: melisas@stanford.edu.
Eric I HsiaoSanta Clara Valley Medical Center, 751 S. Bascom Ave, San Jose, CA, 95128-2699, USA; Stanford University School of Medicine, Department of Medicine, Stanford, CA 94305. Electronic address: eric.hsiao@hhs.sccgov.org.
Carl M KirschSanta Clara Valley Medical Center, 751 S. Bascom Ave, San Jose, CA, 95128-2699, USA; Stanford University School of Medicine, Department of Medicine, Stanford, CA 94305. Electronic address: carl.kirsch@hhs.sccgov.org.
Amit GohilSanta Clara Valley Medical Center, 751 S. Bascom Ave, San Jose, CA, 95128-2699, USA; Stanford University School of Medicine, Department of Medicine, Stanford, CA 94305. Electronic address: amit.gohil@hhs.sccgov.org.
Supriya NarasimhanSanta Clara Valley Medical Center, 751 S. Bascom Ave, San Jose, CA, 95128-2699, USA; Stanford University School of Medicine, Department of Medicine, Stanford, CA 94305. Electronic address: supriya.narasimhan@hhs.sccgov.org.
David A StevensStanford University School of Medicine, Department of Medicine, Stanford, CA 94305; California Institute for Medical Research, 2260 Clove Dr., San Jose 95128. Electronic address: stevens@stanford.edu.
Santa Clara Valley Medical Center · USCalifornia Institute for Medical Research · USStanford University · US

Funding

Global Epidemiology of Infectious DiseasesT32AI052073 · NIAID · STANFORD UNIVERSITY · PI Angelle Desiree LaBeaud, Stephen Patrick Luby · 2003 to 2026
$4.2M
NIAID NIH HHS T32 AI052073
6 · The paper itself

Abstract

Invasive pulmonary aspergillosis (IPA) is classically considered an illness of severely immunocompromised patients with limited host defenses. However, IPA has been reported in immunocompetent but critically ill patients. This report describes two fatal cases of pathologically confirmed IPA in patients with influenza in the intensive care unit. One patient had influenza B infection, whereas the other had influenza A H1N1. Both patients died despite broad-spectrum antimicrobials, mechanical ventilation, and vasopressor support. Microscopic and histologic postmortem examination confirmed IPA. Review of the English language and foreign literature indicates that galactomannan antigen testing and classic radiologic findings for IPA may not be reliable in immunocompetent patients. Respiratory cultures which grow Aspergillus species in critically ill patients, particularly those with underlying influenza infection, should not necessarily be disregarded as contaminants or colonizers. Further research is needed to better understand the immunological relationship between influenza and IPA for improved prevention and treatment of influenza and Aspergillus co-infections.

Indexed as

CoinfectionInfluenza, HumanInvasive Pulmonary AspergillosisAdolescentAdultAgedAged, 80 and overFatal OutcomeFemaleHumansMaleMiddle AgedYoung AdultAspergillusInfluenzaInvasive pulmonary aspergillosis

Identifiers

PMID29454654
PMCPMC5970059
OpenAlexW2786860933

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.