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Post-COVID-19 Fungal Infection in the Aged Population
Vivek P Chavda1, Toshika Mishra2, Sathvika Kamaraj2
1Department of Pharmaceutics and Pharmaceutical Technology, L.M. College of Pharmacy, Ahmedabad 380009, Gujarat, India.
Abstract:
Coronavirus disease 2019 (COVID-19) infection is currently a great cause of concern for the healthcare sector around the globe. SARS-CoV-2 is an RNA virus that causes a serious infection that is associated with numerous adverse effects and multiple complications associated with different organs and systems during its pathogenic cycle in humans. Individuals affected by COVID-19, especially elderly populations and immunocompromised people, are greatly vulnerable to opportunistic fungal pathogens. Aspergillosis, invasive candidiasis, and mucormycosis are widespread fungal coinfections in COVID-19 patients. Other fungal infections that are rare but are exhibiting increased incidence in the current scenario include infections caused by Pneumocystis jirovecii, Histoplasma sp., Cryptococcus sp., etc. By producing virulent spores, these pathogens increase the severity of the disease and increase the morbidity and fatality rates in COVID-19 patients globally. These infections generally occur in patients recovering from COVID-19 infection, resulting in rehospitalization. Older and immunocompromised individuals are at higher risk of developing opportunistic fungal infections. This review focuses on understanding the opportunistic fungal infections prevalent in COVID-19 patients, especially elderly people. We have also highlighted the important preventive methods, diagnostic approaches, and prophylactic measures for fungal infections.
Insights
COVID-19 patients, particularly the elderly and immunocompromised, face a heightened risk of opportunistic fungal infections like aspergillosis and mucormycosis. This review details prevalent fungal coinfections, emphasizing prevention and diagnosis in vulnerable populations.
Area of Science:
- Infectious Diseases
- Mycology
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, presents significant global health challenges.
- COVID-19 patients, especially the elderly and immunocompromised, are susceptible to opportunistic fungal coinfections.
- Common fungal coinfections include aspergillosis, candidiasis, and mucormycosis, with increasing incidence of rarer pathogens.
Purpose of the Study:
- To review opportunistic fungal infections in COVID-19 patients, with a focus on the elderly.
- To understand the impact of fungal coinfections on disease severity and mortality.
- To highlight preventive, diagnostic, and prophylactic strategies for these infections.
Main Methods:
- Literature review of opportunistic fungal infections in COVID-19 patients.
- Analysis of prevalence, risk factors, and clinical impact of fungal coinfections.
- Synthesis of information on prevention, diagnosis, and treatment.
Main Results:
- Fungal coinfections significantly increase morbidity and mortality in COVID-19 patients.
- Elderly and immunocompromised individuals are at the highest risk.
- Fungal infections can lead to disease exacerbation and rehospitalization.
Conclusions:
- Opportunistic fungal infections are a serious concern in COVID-19 patients, particularly the elderly.
- Early diagnosis, prevention, and prompt management are crucial.
- Further research into effective prophylactic and therapeutic strategies is warranted.
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