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Macrophage Cholesterol Depletion and Its Effect on the Phagocytosis of Cryptococcus neoformans
Published on: December 19, 2014
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Disseminated Cryptococcus neoformans infection associated to COVID-19
Diana Alegre-González1, Sabina Herrera2, Javier Bernal2
1Department of Internal Medicine, Hospital San Pedro, Logroño, 26007, Spain.
Medical Mycology Case Reports
|October 27, 2021
Summary
High-dose corticosteroids for severe COVID-19 can lead to serious fungal infections, even in patients not previously immunosuppressed. This case highlights the increased risk of opportunistic infections during COVID-19 treatment.
Area of Science:
- Infectious Diseases
- Pulmonology
- Immunology
Background:
- Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is linked to immune system dysregulation.
- Immunosuppressive therapies, including high-dose corticosteroids, are used in severe COVID-19 cases.
- These treatments can elevate the risk of opportunistic infections.
Observation:
- A case study of a patient with severe COVID-19 and cryptogenic organizing pneumonia is presented.
- The patient had no prior history of immunosuppression.
- The patient developed a serious fungal infection following high-dose corticosteroid treatment.
Findings:
- High-dose corticosteroid use in severe COVID-19 can precipitate severe fungal infections.
- Cryptogenic organizing pneumonia may be a complicating factor in COVID-19 patients.
- Opportunistic fungal infections are a significant risk in immunocompromised COVID-19 patients.
Implications:
- Clinicians should be vigilant for opportunistic fungal infections in COVID-19 patients receiving immunosuppressants.
- Risk-benefit assessment of high-dose corticosteroids in severe COVID-19 warrants careful consideration.
- Further research into managing opportunistic infections in immunocompromised COVID-19 patients is needed.
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