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Giusiano G, Fernández NB, Vitale RG, Alvarez C, Ochiuzzi ME, Santiso G, Cabeza MS, Tracogna F, Farías L, Afeltra J, Noblega LM, Giuliano CV, Garcia-Effron G. Usefulness of Sōna Aspergillus Galactomannan LFA with digital readout as diagnostic and as screening tool of COVID-19 associated pulmonary aspergillosis in critically ill patients. Data from a multicenter prospective study performed in Argentina. Med Mycol 2022; 60:6565285. [PMID: 35394043 PMCID: PMC9051581 DOI: 10.1093/mmy/myac026] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 02/17/2022] [Accepted: 04/06/2022] [Indexed: 11/14/2022] Open
Abstract
COVID-19 associated pulmonary aspergillosis (CAPA) incidence varies depending on the country. Serum galactomannan quantification is a promising diagnostic tool since samples are easy to obtain with low biosafety issues. A multicenter prospective study was performed to evaluate the CAPA incidence in Argentina and to assess the performance of the lateral flow assay with digital readout (Sōna Aspergillus LFA) as a CAPA diagnostic and screening tool. The correlation between the values obtained with Sōna Aspergillus LFA and Platelia® EIA was evaluated. In total, 578 serum samples were obtained from 185 critically ill COVID patients. CAPA screening was done weekly starting from the first week of ICU stay. Probable CAPA incidence in critically ill patients was 10.27% (19/185 patients when LFA was used as mycological criteria) and 9% (9/100 patients when EIA was used as mycological criteria). We found a very good correlation between the two evaluated galactomannan quantification methods (overall agreement of 92.16% with a Kappa statistic value of 0.721). CAPA diagnosis (>0.5 readouts in LFA) were done during the first week of ICU stay in 94.7% of the probable CAPA patients. The overall mortality was 36.21%. CAPA patients' mortality and length of ICU stay were not statistically different from for COVID (non-CAPA) patients (42.11% vs 33.13% and 29 vs 24 days, respectively). These indicators were lower than in other reports. LFA-IMMY with digital readout is a reliable tool for early diagnosis of CAPA using serum samples in critically ill COVID patients. It has a good agreement with Platelia® EIA.
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Affiliation(s)
- Gustavo Giusiano
- Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Argentina.,Instituto de Medicina Regional, Universidad Nacional del Nordeste, Resistencia (Chaco). Argentina
| | - Norma B Fernández
- Laboratorio de Micología, División Infectología, Hospital de Clínicas "José de San Martín" Universidad de Buenos Aires, Argentina
| | - Roxana G Vitale
- Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Argentina.,Unidad de Parasitología, Sector Micología, Hospital JM Ramos Mejía, Buenos Aires, Argentina
| | - Christian Alvarez
- División Micología, - Laboratorio de Salud Pública de Tucumán, San Miguel de Tucumán, Argentina
| | | | - Gabriela Santiso
- Centro de Estudios Micológicos, Ciudad Autónoma de Buenos Aires, Argentina; Unidad Micología del Hospital de Infecciosas F. J. Muñiz, Buenos Aires, Argentina
| | - Matías Sebastián Cabeza
- Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Argentina.,Laboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
| | | | - Luciana Farías
- Laboratorio de Micología, División Infectología, Hospital de Clínicas "José de San Martín" Universidad de Buenos Aires, Argentina
| | - Javier Afeltra
- Unidad de Parasitología, Sector Micología, Hospital JM Ramos Mejía, Buenos Aires, Argentina
| | - Luciana María Noblega
- División Micología, - Laboratorio de Salud Pública de Tucumán, San Miguel de Tucumán, Argentina
| | | | - Guillermo Garcia-Effron
- Consejo Nacional de Investigaciones Científicas y Tecnológicas (CONICET), Argentina.,Laboratorio de Micología y Diagnóstico Molecular, Cátedra de Parasitología y Micología, Facultad de Bioquímica y Ciencias Biológicas, Universidad Nacional del Litoral, Santa Fe, Argentina
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ABBOTT JD, FERNANDO HVJ, GURLING K, MEADE BW. Pulmonary aspergillosis following post-influenzal bronchopneumonia treated with antibiotics. Br Med J 2004; 1:523-5. [PMID: 14904967 PMCID: PMC2022929 DOI: 10.1136/bmj.1.4757.523] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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LONGBOTTOM JL, PEPYS J. PULMONARY ASPERGILLOSIS: DIAGNOSTIC AND IMMUNOLOGICAL SIGNIFICANCE OF ANTIGENS AND C-SUBSTANCE IN ASPERGILLUS FUMIGATUS. ACTA ACUST UNITED AC 1996; 88:141-51. [PMID: 14194971 DOI: 10.1002/path.1700880119] [Citation(s) in RCA: 245] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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PEPYS J, LONGBOTTOM JL, JENKINS PA. VEGETABLE DUST PNEUMOCONIOSES. IMMUNOLOGIC RESPONSES TO VEGETABLE DUSTS AND THEIR FLORA. Am Rev Respir Dis 1996; 89:842-58. [PMID: 14169413 DOI: 10.1164/arrd.1964.89.6.842] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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PEPYS J. POSSIBLE ROLE OF PRECIPITINS AGAINST ASPERGILLUS FUMIGATUS. Am Rev Respir Dis 1996; 90:465-7. [PMID: 14215917 DOI: 10.1164/arrd.1964.90.3.465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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CAMPBELL MJ, CLAYTON YM. BRONCHOPULMONARY ASPERGILLOSIS. A CORRELATION OF THE CLINICAL AND LABORATORY FINDINGS IN 272 PATIENTS INVESTIGATED FOR BRONCHOPULMONARY ASPERGILLOSIS. Am Rev Respir Dis 1996; 89:186-96. [PMID: 14120084 DOI: 10.1164/arrd.1964.89.2.186] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Abstract
A case of subcutaneous infection by Aspergillus terreus is reported. Pus from the lesion contained spherules which did not appear to be related to the aspergillus. The nature of the spherules is discussed.
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BUTTERICK DD, ROBERTS L. GENERALIZED CYTOMEGALIC INCLUSION DISEASE. REPORT OF TWO CASES WITH ASSOCIATED FUNGAL INFECTION, ONE INVOLVING ASPERGILLOSIS, THE SECOND WITH CANDIDIASIS. Am J Dis Child 1965; 110:319-28. [PMID: 14332370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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SAYLE BA, LANG PA, GREEN WO, BOSWORTH WC, GREGORY R. CUSHING'S SYNDROME DUE TO ISLET CELL CARCINOMA OF THE PANCREAS. REPORT OF TWO CASES: ONE WITH ELEVATED 5-HYDROXYINDOLE ACETIC ACID AND COMPLICATED BY ASPERGILLOSIS. Ann Intern Med 1965; 63:58-68. [PMID: 14305969 DOI: 10.7326/0003-4819-63-1-58] [Citation(s) in RCA: 34] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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JACOBS P, FRIEDBERG EC. PULMONARY ASPERGILLOSIS IN A WHITE SOUTH AFRICAN FARMER. A CASE REPORT. Cent Afr J Med 1965; 11:155-60. [PMID: 14344930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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BROENNESTAM R, HALLBERG T. PRECIPITINS AGAINST AN ANTIGEN EXTRACT OF ASPERGILLUS FUMIGATUS IN PATIENTS WITH ASPERGILLOSIS OR OTHER PULMONARY DISEASES. Acta Med Scand 1965; 177:385-92. [PMID: 14296598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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SIDRANSKY H, VERNEY E, BEEDE H. EXPERIMENTAL PULMONARY ASPERGILLOSIS. Arch Pathol 1965; 79:299-309. [PMID: 14246209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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FERRANDO R, HENRY N. [PATHOLOGIC CONSEQUENCES OF FOOD INFESTED WITH ASPERGILLUS FLAVUS]. Bull Acad Natl Med 1965; 149:94-103. [PMID: 14294782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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TOMSIKOVA A, DURA J, MALY V, NOVACKOVA D. [EFFECT OF MYCOTIC FLORA ON THE PATHOGENESIS OF CHRONIC BRONCHITIS. 3. EXPERIMENTAL BRONCHITIS IN RABBITS]. Vnitr Lek 1965; 11:120-9. [PMID: 14309928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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SUN HL, WANG TL, MA WH, KAO HC. A STUDY ON THE PATHOLOGY AND MORPHOLOLOGY OF DEEP MYCOSIS. Chin Med J 1965; 84:125-36. [PMID: 14285312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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LEVENE N, RIVAROLA CH, BLUE ME. SURGICAL CONSIDERATIONS IN PULMONARY TUBERCULOSIS COMPLICATED BY BRONCHOPULMONARY ASPERGILLOSIS. Am Rev Respir Dis 1965; 91:262-7. [PMID: 14256756 DOI: 10.1164/arrd.1965.91.2.262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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GERNEZ-RIEUX C, VOISIN C, WATTEL F, LEMORT J. [LATENT FORMS OR UNRECOGNIZED BRONCHO-PULMONARY ASPERGILLOSIS]. Rev Prat 1965; 15:293-8. [PMID: 14251076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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SOUQUET R, GARRIGOU J, DUVAL-DESTIN G, MARUELLE R. [EXERTION HEMOPTYSIS, BULLOUS EMPHYSEMA, ASTHMA AND ASPERGILLOSIS]. Sem Hop 1965; 41:105-8. [PMID: 14304534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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THORBAN W, FASSBENDER CW. [ON THE DIAGNOSIS AND THERAPY OF VARIOUS FORMS OF LUNG ASPERGILLOSIS]. Thoraxchir Vask Chir (1962) 1965; 12:399-408. [PMID: 14266158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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SAUEZ H. [ASPERGILLUS FUMIGATUS FRESENIUS ISOLATED FROM ANIMALS. ANALYSIS BEARING ON 4 YEARS OF RESEARCH]. Ann Parasitol Hum Comp 1965; 40:105-17. [PMID: 14326421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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FRANKLAND AW, DAVIES RR. [ALLERGY TO MOLD SPORES IN ENGLAND]. Poumon Coeur 1965; 21:11-31. [PMID: 14272074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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FUKUDA E, MYOGA S, NAGAGAWA A, KAWAGUCHI H. [A CASE OF ASPERGILLUS INFECTION OF THE MAXILLARY CAVITY CAUSED BY FUNGUS BALL FORMATION]. Jibiinkoka 1965; 37:45-9. [PMID: 14287507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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