Evidence map›Paper›PMID 38390457›Full record

ArticleOpen forum infectious diseases2024

Increased Risk of Invasive Aspergillosis in Immunocompromised Patients With Persistent SARS-CoV-2 Viral Shedding >8 Weeks, Retrospective Case-control Study.

Cléa Melenotte, Nathalie Chavarot, Anne-Sophie L'Honneur, Sylvain Bodard, Morgane Cheminant, Adrien Flahault, Yann Nguyen, Marianne Burgard, Eric Dannaoui, Marie-Elisabeth Bougnoux and 14 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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  6. Case reports in infectious diseases · 2025
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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

24 authors at 4 institutions in 1 country.

Cléa MelenotteDepartment of Infectious Diseases and Tropical Medicine, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.ORCID https://orcid.org/0000-0003-3159-1061
Nathalie ChavarotDepartment of Nephrology and Kidney Transplantation, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Anne-Sophie L'HonneurParis-Cité University, Paris, France.
Sylvain BodardParis-Cité University, Paris, France.
Morgane CheminantParis-Cité University, Paris, France.
Adrien FlahaultDepartment of Nephrology and Kidney Transplantation, European Hospital Georges Pompidou, Public Assistance of the Hospital of Paris, Paris, France.
Yann NguyenDepartment of Internal Medicine, University Hospital Cochin, Public Assistance of the Hospital of Paris, Paris, France.ORCID https://orcid.org/0000-0002-0866-3824
Marianne BurgardDepartment of Virology, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Eric DannaouiParis-Cité University, Paris, France.
Marie-Elisabeth BougnouxParis-Cité University, Paris, France.ORCID https://orcid.org/0000-0003-4721-2740
Perrine ParizeDepartment of Infectious Diseases and Tropical Medicine, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.ORCID https://orcid.org/0000-0002-0786-7518
Claire RouzaudDepartment of Infectious Diseases and Tropical Medicine, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Anne ScemlaDepartment of Nephrology and Kidney Transplantation, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Etienne CanouïMobile Team of Infectious Diseases and Tropical Medicine, Cochin University Hospital, Public Assistance of the Hospital of Paris, France.ORCID https://orcid.org/0000-0003-0612-5691
Emmanuel LafontDepartment of Internal Medicine, European Hospital Georges Pompidou, Public Assistance of the Hospital of Paris, Paris, France.
Damien VimpereDepartment of Intensive Care Unit, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Julien ZuberDepartment of Nephrology and Kidney Transplantation, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Caroline CharlierParis-Cité University, Paris, France.ORCID https://orcid.org/0000-0002-9375-3620
Felipe SuarezParis-Cité University, Paris, France.
Dany AnglicheauDepartment of Nephrology and Kidney Transplantation, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Olivier HermineParis-Cité University, Paris, France.
Fanny LanternierDepartment of Infectious Diseases and Tropical Medicine, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Luc MouthonParis-Cité University, Paris, France.
Olivier LortholaryDepartment of Infectious Diseases and Tropical Medicine, Hospital Necker-Enfants Malades, Public Assistance of the Hospital of Paris, Paris, France.
Hôpital Necker-Enfants Malades · FRUniversité Paris Cité · FRHôpital Cochin · FRHôpital Européen Georges-Pompidou · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immunocompromised patients now represent the population most at risk for severe coronavirus disease 2019. Persistent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral shedding was reported in these patients ranging from several weeks up to 9 months. We conducted a bicentric retrospective case-control study to identify risk and prognostic factors associated with persistent viral shedding in immunocompromised patients. Material and Methods: Symptomatic immunocompromised adults with persistent SARS-CoV-2 viral shedding >8 weeks were retrospectively included between 1 March 2020 and 24 April 2022 at 2 university hospitals in Paris, France, and matched with a control group consisting of symptomatic immunocompromised patients without persistent viral shedding. Results: Twenty-nine immunocompromised patients with persistent viral shedding were compared with 40 controls. In multivariate analysis, fever and lymphocytopenia (<0.5 G/L) were associated with an increased risk of persistent viral shedding (odds ratio [OR]: 3.3; 95% confidence interval [CI], 1.01-11.09) Conclusions: Vaccine coverage was protective against SARS-CoV-2 persistent viral shedding in immunocompromised patients. This new group of immunocompromised patients with SARS-CoV-2 persistent viral shedding is at risk of developing invasive aspergillosis and death and should therefore be systematically screened for this fungal infection for as long as the viral shedding persists.

Indexed as

COVID-19deathhematological diseasesimmunocompromised hostinvasive aspergillosispersistent viral sheddingSARS-CoV-2solid organ transplant recipients

Identifiers

PMID38390457
PMCPMC10883287
OpenAlexW4390859898

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.