Evidence map›Paper›PMID 33684835›Full record

ArticleJournal de mycologie medicale2021

Fatal disseminated aspergillosis in an immunocompetent patient with COVID-19 due to Aspergillus ochraceus.

Atousa Hakamifard, Marzieh Hashemi, Hamed Fakhim, Shima Aboutalebian, Somayeh Hajiahmadi, Rasoul Mohammadi

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal de mycologie medicale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Journal of microbiology and biotechnology · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. A Rare Case of COVID-19-Associated SolitaryAsian journal of neurosurgery · 2023
    Article
  9. Article
  10. Article
  11. Molecules (Basel, Switzerland) · 2022
    Review
  12. Article
  13. An overview of COVID-19 related to fungal infections: what do we know after the first year of pandemic?Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022
    Review
  14. Review
  15. Cerebral Aspergillosis Complicating COVID Recovery.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  16. Review
  17. COVID-19 and fungal infections: Etiopathogenesis and therapeutic implications.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2021
    Review
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 1 institution in 1 country.

Atousa HakamifardInfectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Marzieh HashemiDepartment of Pulmonology, Isfahan University of Medical Sciences, Isfahan, Iran.
Hamed FakhimInfectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Shima AboutalebianDepartment of Medical Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Somayeh HajiahmadiDepartment of Radiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Rasoul MohammadiInfectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran; Department of Medical Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: Dr.rasoul_mohammadi@yahoo.com.
Isfahan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspergillus infection is a well-known complication of severe influenza and severe acute respiratory syndrome coronavirus (SARS-CoV), and these infections have been related with significant morbidity and mortality even when appropriately diagnosed and treated. Recent studies have indicated that SARS-CoV-2 might increase the risk of invasive pulmonary aspergillosis (IPA). Here, we report the first case of Aspergillus ochraceus in a SARS-CoV-2 positive immunocompetent patient, which is complicated by pulmonary and brain infections. Proven IPA is supported by the positive Galactomannan test, culture-positive, and histopathological evidence. The patient did not respond to voriconazole, and liposomal amphotericin B was added to his anti-fungal regimen. Further studies are needed to evaluate the prevalence of IPA in immunocompetent patients infected with SARS-CoV-2. Consequently, testing for the incidence of Aspergillus species in lower respiratory secretions and Galactomannan test of COVID-19 patients with appropriate therapy and targeted anti-fungal therapy based on the primary clinical suspicion of IPA are highly recommended.

Indexed as

AdultAmphotericin BAntifungal AgentsAspergillosisAspergillus ochraceusBiomarkersBrain AbscessBronchoalveolar Lavage FluidCOVID-19COVID-19 Nucleic Acid TestingFatal OutcomeGalactoseHumansImmunocompetenceInvasive Fungal InfectionsLung Diseases, FungalAmphotericin BAntifungal AgentsBiomarkersgalactomannanGalactoseliposomal amphotericin BMannansVoriconazoleAspergillus ochraceusCOVID-19Disseminated aspergillosisImmunocompetent patient

Identifiers

PMID33684835
PMCPMC7901383
OpenAlexW3133305413

What OpenQuestion holds

Textmetadata
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.