Evidence map›Paper›PMID 42713212›Full record

ArticleInfection and drug resistance2026

Clinical and Microbiological Characteristics of Pulmonary Aspergillosis in Elderly vs Non-Elderly Patients: A tNGS-Based Retrospective Study.

Miao Yu, Qianqian Zhao, Jingwen Huang, Jiaxin Tian, Xuefei Liu, Simin Xie, Chao Sun, Yijie Li, Wanjie Xu, Fengfei Qian and 5 more

Abstract read
In one paragraph

Article in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Miao YuDepartment of Pulmonary and Critical Care Medicine, Hangzhou Linping District Integrated Traditional Chinese and Western Medicine Hospital, Zhejiang, 311199, People's Republic of China.ORCID 0009-0002-2135-8653
Qianqian ZhaoDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Jingwen HuangDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.ORCID 0000-0002-5233-9693
Jiaxin TianDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Xuefei LiuDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Simin XieDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Chao SunDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Yijie LiDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Wanjie XuDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Fengfei QianDepartment of Pulmonary and Critical Care Medicine, Hangzhou Linping District Integrated Traditional Chinese and Western Medicine Hospital, Zhejiang, 311199, People's Republic of China.
Xiaohua ZhongDepartment of Pulmonary and Critical Care Medicine, Hangzhou Linping District Integrated Traditional Chinese and Western Medicine Hospital, Zhejiang, 311199, People's Republic of China.
Chuanhua NieDepartment of Pulmonary and Critical Care Medicine, Hangzhou Linping District Integrated Traditional Chinese and Western Medicine Hospital, Zhejiang, 311199, People's Republic of China.
Xiaoli ZhaoDepartment of Pulmonary and Critical Care Medicine, Hangzhou Linping District Integrated Traditional Chinese and Western Medicine Hospital, Zhejiang, 311199, People's Republic of China.
Wenxin WuDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
Min ZhouDepartment of Pulmonary and Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Elderly patients are more susceptible to pulmonary aspergillosis(PA) and exhibit worse clinical outcomes. This study aims to compare the clinical characteristics, pathogen distribution, co-infection patterns, and outcomes of elderly and non-elderly patients with PA diagnosed via targeted next-generation sequencing (tNGS). Methods: This retrospective study included 107 patients with tNGS-confirmed pulmonary aspergillosis admitted to Ruijin Hospital between March 2023 and January 2025. Demographic, clinical, radiological, and laboratory data were extracted from electronic medical records to compare the clinical and microbiological profiles between the elderly (≥65 years) and non-elderly (<65 years) cohorts. Results: A total of 107 patients including elderly (n=64) and non-elderly (n=43) were included retrospectively. The prevalence of invasive pulmonary aspergillosis was significantly higher in the elderly group compared to the non-elderly group (93.8% vs 74.4%). Similarly, the elderly group had significantly higher proportions of overall co-infection (79.7% vs 51.2%), bacterial co-infection (68.8% vs 39.5%), and atypical imaging features such as patchy infiltrates/consolidation (89.1% vs 62.8%) (all Conclusion: Within our study scope, pulmonary aspergillosis in the elderly is characterized by higher mortality, atypical imaging, prevalent bacterial co-infections, and specific laboratory deviations-most notably, diminished lymphocytes and albumin alongside elevated D-dimer and LDH levels. Furthermore, tNGS serves as a valuable adjunctive tool to identify complex mixed pathogens and assist in clinical management.

Indexed as

co-infectionelderlypulmonary aspergillosistargeted next-generation sequencingtNGS

Identifiers

PMID42713212
PMCPMC13552398

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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.