Table 2.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | |
---|---|---|---|---|---|---|
First tocilizumab dose | 5.2 mg/kg | 11 mg/kg | 4 mg/kg | 7.5 mg/kg | 6.25 mg/kg | 6 mg/kg |
Second tocilizumab dose | 5.2 mg/kg | n/a | 4 mg/kg | 7.5 mg/kg | 3.1 mg/kg | 6 mg/kg |
Days between 1ST and 2nd tocilizumab dose | 3 | n/a | 4 | 6 | 8 | 11 |
Total cumulative tocilizumab dose | 10.4 mg/kg | 11 mg/kg | 8 mg/kg | 15 mg/kg | 9.38 mg/kg | 12.12 mg/kg |
Status of capa $ | Probable | Probable | Probable | Probable | Probable | Probable |
Usage of penicillin before diagnosis | No | No | Yes, piperacillin/tazobactam |
Yes, piperacillin/tazobactam |
No | No |
Blood Aspergillus AG titer while IA diagnosed | 0.69 | 0.61 | 0.73 | 1.82 | 0.76 | 1.09 |
The highest blood ASPERGILLUS AG titer | 1.60 | 6.62 | 1.14 | 3.17 | 2.26 | 4.71 |
The highest BAL ASPERGILLUS AG titer | 7.09 | 0.89 | 0.36 | 0.76 | 0.26 | 0.41 |
Imagine evidence of aspergillosis in chest CT | N/A | Nonspecific findings | N/A | Clusters of fluffy nodules | Diffuse ground glass opacity with reticulations | Diffuse ground glass opacity with consolidations |
Days after COVID-19 symptom onset to IA diagnosed | 32 | 32 | 15 | 21 | 20 | 27 |
Days after ICU admission to IA diagnosed | 28 | 19 | 6 | 18 | 11 | 10 |
Days after 1ST tocilizumab dose to IA diagnosed | 28 | 26 | 9 | 13 | 11 | 21 |
Days after 2nd tocilizumab dose to IA diagnosed | 25 | n/a | 5 | 7 | 3 | 10 |
Antifungal agent | Voriconazole | Voriconazole + caspofungin, switched to posaconazole |
Voriconazole | Voriconazole, add-on caspofungin | Voriconazole + micafungin, switched to posaconazole | Voriconazole, add-on caspofungin |
Outcomes | Death on Day 51 | Death on Day 168 | Discharged on Day 28 | Discharged on Day 76 | Discharged on Day 61 | Discharged on Day 151 (respiratory care ward) |
Note: n/a: not applicable; IA: invasive aspergillosis; Ag: antigen; ICU: Intensive Care Unit; CAPA: COVID-19-associated pulmonary aspergillosis; BAL: bronchoalveolar lavage; CT: computed tomography. $: according to Koehler 2020, Lancet Infect Dis [7].