TABLE 2.
Case | ECMM/ISHAM CAPA classification | EORTC/MSG host factors | Age, sex | Underlying disease | Mechanical ventilation | Systemic corticosteroids for COVID | Tocilizumab for COVID | Mycological evidence for CAPA | Antifungal therapy | Patient alive at ICU discharge |
---|---|---|---|---|---|---|---|---|---|---|
Patient 1 | Probable | None | 63, m | Hypertension, coronary heart disease | No | Yes | No | BAL, GM, PCR | Isavu | No |
Patient 2 | Probable | None | 60, m | Hypertension | Yes | Yes | No | BAL, GM, PCR, culture, LFD, serum GM | Isavu | Yes |
Patient 3 | Probable | None | 65, m | Hypertension | Yes | No | No | Serum GM, tracheal aspiration, LFD+ | Isavu | No |
Patient 4 | Probable | None | 58, m | JAK-2-positive essential thrombocythemia | Yes | Yes | No | NBL, culture, GM, PCR, serum GM | Vori | No |
Patient 5 | Probable | None | 58, m | Diabetes mellitus type 2, hypertension | Yes | Yes | Yes | BAL GM, serum GM | Vori | No |
Patient 6 | Probable | None | 53, f | Malignant neoplasm of rectum, stage 3 cervical cancer, bronchial asthma | Yes | Yes | No | BAL GM, NBL culture | L-AmB | No |
Patient 7 | Possible | None | 52, m | None | Yes | Yes | Yes | NBL GM | Vori | Yes |
Patient 8 | Possible | None | 72, f | Hypertension | Yes | No | No | NBL GM | Vori | Yes |
BAL, bronchoalveolar lavage; CAPA, COVID-19-associated pulmonary aspergillosis; ECMM, European Confederation for Medical Mycology; EORTC, European Organization for Research and Treatment in Cancer; f, female; GM, galactomannan; ICU, intensive care unit; Isavu, isavuconoazle; ISHAM, International Society for Human and Animal Mycoses; L-AmB, liposomal amphotericin-B; LFD, lateral flow device; m, male; MSG, Mycoses Study Group; NBL, nonbronchoscopic lavage; SOT, solid organ transplantation; TB, tuberculosis; Vori, voriconazole.