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Updated: Nov 9, 2025

Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
Published on: March 9, 2018
Pulmonary aspergillosis and mucormycosis in a patient with COVID-19
Andre K Johnson1, Zeron Ghazarian2, Kristina D Cendrowski3
1Riverside Community Hospital, Division of Infectious Diseases, 4445 Magnolia Avenue, Riverside, CA, 92501, USA.
Abstract:
Invasive pulmonary mucormycosis and aspergillosis are rare, life-threatening fungal infections. Most documented cases have been reported in patients with diabetes mellitus, neutropenia, or treatment with corticosteroids. Both infections have been recognized as secondary complications of COVID-19, especially among critically ill patients. We report the first case of combined probable pulmonary aspergillosis and possible mucormycosis in a male with COVID-19 in the ICU.
Insights
This study reports the first combined case of invasive pulmonary aspergillosis and mucormycosis in a male COVID-19 patient. These rare, life-threatening fungal infections are critical secondary complications in intensive care unit patients.
Area of Science:
- Medicine
- Infectious Diseases
- Pulmonology
Background:
- Invasive pulmonary aspergillosis and mucormycosis are rare, severe fungal infections.
- These infections are often associated with conditions like diabetes, neutropenia, and corticosteroid use.
- Both have emerged as secondary complications in COVID-19 patients, particularly those critically ill.
Observation:
- The study presents a unique case of a male patient admitted to the intensive care unit (ICU).
- This patient had a concurrent diagnosis of COVID-19.
Findings:
- The patient exhibited signs of probable pulmonary aspergillosis.
- Additionally, there was evidence suggestive of possible pulmonary mucormycosis.
- This represents the first documented instance of combined aspergillosis and mucormycosis in a COVID-19 patient.
Implications:
- This case highlights the potential for co-infection with multiple invasive fungal pathogens in COVID-19.
- It underscores the importance of considering and diagnosing these rare but serious fungal infections in critically ill COVID-19 patients.
- Further research is needed to understand the synergistic or additive risks and optimal management strategies for such co-infections.
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