loading page

Aspergillus but Not Candida: Fatal Fungus Infection in Critical COVID-19 Patients
  • +14
  • Aifang Zhong,
  • Yang Yang,
  • Jiang Wu,
  • Lei Xiong,
  • Jian Wu,
  • Jiawei Shen,
  • Wei Dai,
  • Tao Luo,
  • Yanju Guo,
  • Jun Zhao,
  • Ying Han,
  • Peiran Zhu,
  • Qiuyue Wu,
  • Weiwei Li,
  • Changjun Wang,
  • Li Han,
  • Xinyi Xia
Aifang Zhong
Nanjing Jinling Hospital

Corresponding Author:[email protected]

Author Profile
Yang Yang
Nanjing Jinling Hospital
Author Profile
Jiang Wu
Nanjing Jinling Hospital
Author Profile
Lei Xiong
Nanjing Jinling Hospital
Author Profile
Jian Wu
Nanjing Jinling Hospital
Author Profile
Jiawei Shen
Nanjing Jinling Hospital
Author Profile
Wei Dai
Nanjing Jinling Hospital
Author Profile
Tao Luo
Nanjing Jinling Hospital
Author Profile
Yanju Guo
Nanjing Jinling Hospital
Author Profile
Jun Zhao
Nanjing Jinling Hospital
Author Profile
Ying Han
Nanjing Jinling Hospital
Author Profile
Peiran Zhu
Nanjing Jinling Hospital
Author Profile
Qiuyue Wu
Nanjing Jinling Hospital
Author Profile
Weiwei Li
Nanjing Jinling Hospital
Author Profile
Changjun Wang
Center for Disease Control and Prevention of PLA
Author Profile
Li Han
Center for Disease Control and Prevention of PLA
Author Profile
Xinyi Xia
Nanjing Jinling Hospital
Author Profile

Abstract

Abstract Objectives: Earlier researches suggested patients should be routinely screened for bacteria and fungi infection after COVID-19 being confirmed. Here, we enrolled 236 patients with COVID-19 to analyze the clinical characteristics, fungal strains, mortality, and laboratory data of different groups. Design: Single center retrospective study Patients: A total of 236 COVID-19 patients from Huoshenshan Hospital were included in this study, consisting of 14(6%) died cases, 222(94%) discharged cases . Results: The result revealed that 5 mortality in positive group were all related to aspergillus infection while candida infection rarely caused death. Aspergillus was most common in non-survivors while candida was most common in survivors. In terms of interleukin-6 (IL6), viral loads, nucleic acid clearance time, etc, fungal serologically positive group had a higher level than negative group. Conclusions: Non-survivors of Covid-19 with fungal infection were almost associated with aspergillus infection. Aspergillus infection, instead of candida infection might be fatal for critical ill patients with COVID-19. There is great significance to carry out routine screening for fungal infection especially for critical patients to enable early treatment to be implemented. Keywords: coronavirus disease 2019 (COVID-19); fungal infection; aspergillus; mortality