{"id":21844,"date":"2022-07-21T05:21:00","date_gmt":"2022-07-20T21:21:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=21844"},"modified":"2022-07-21T05:40:52","modified_gmt":"2022-07-20T21:40:52","slug":"intensive-care-medicine%e5%bd%b1%e5%83%8f%ef%bc%9a%e6%96%b0%e5%86%a0%e8%82%ba%e7%82%8e%e6%82%a3%e8%80%85%e7%9a%84%e5%bc%a5%e6%bc%ab%e6%80%a7%e6%9b%b2%e9%9c%89%e8%8f%8c%e7%97%85","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=21844","title":{"rendered":"[Intensive Care Medicine\u5f71\u50cf]\uff1a\u65b0\u51a0\u80ba\u708e\u60a3\u8005\u7684\u5f25\u6f2b\u6027\u66f2\u9709\u83cc\u75c5"},"content":{"rendered":"\n<ul><li>Imaging in Intensive Care Medicine <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-021-06585-x#article-info\">Published:\u00a0<time datetime=\"2021-11-29\">29 November 2021<\/time><\/a><\/li><\/ul>\n\n\n\n<h1 class=\"wp-block-heading\">Diffuse aspergillosis in a patient with SARS-CoV-2 pneumonia<\/h1>\n\n\n\n<h3 class=\"wp-block-heading\">Giorgio Berlot,\u00a0Ariella Tomasini,\u00a0Rossana Bussani\u00a0<\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><a href=\"https:\/\/link.springer.com\/journal\/134\"><em>Intensive Care Medicine<\/em><\/a>\u00a0<strong>volume\u00a048<\/strong>,\u00a0pages\u00a0609\u2013610 (2022)<\/h3>\n\n\n\n<p>A 59-year-old man with a severe pneumonia due to coronavirus disease 2019 (COVID-19) died in multiple organ failure caused by a postoperative septic shock subsequent to a hemicolectomy for a right colon infarction occurred two\u00a0weeks earlier. Since the admission on, the patient received meropenem, linezolid and caspofungin associated with low-dose hydrocortisone; repeated samples from the lower respiratory tract resulted positive for COVID-19 but negative for germs or fungi. At the autopsy, multiple pulmonary bilateral cavities containing innumerable colonies of\u00a0<em>Aspergillus fumigatus<\/em>\u00a0were found (Fig.\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-021-06585-x#Fig1\">1<\/a>a and b), and a black-stained mould was present in the surgical wound (Fig.\u00a0<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-021-06585-x#Fig1\">1<\/a>c).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/media.springernature.com\/full\/springer-static\/image\/art%3A10.1007%2Fs00134-021-06585-x\/MediaObjects\/134_2021_6585_Fig1_HTML.jpg?as=webp\" alt=\"\"\/><\/figure>\n\n\n\n<p>As different factors, including the destruction of the alveolar epithelial lining and the use of steroids and of other immunomodulating agents such as Tocilizumab make COVID-19 patients at risk for invasive aspergillosis and being its diagnosis challenging, we suggest to use agents with anti-Aspergillus capabilities in all COVID-19 patients requiring an antifungal treatment even for non-pulmonary infections.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Imaging in Intensive Care Medicine Published:\u00a029 Novemb [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[16,13],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/21844"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=21844"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/21844\/revisions"}],"predecessor-version":[{"id":21845,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/21844\/revisions\/21845"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21844"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21844"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21844"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}