Long-term survival following medical management of Aspergillus endocarditis with dissemination as a consequence of steroid therapy in severe COVID-19 pneumonia

Autor: Kiran G. Kulirankal, Ann Mary, Merlin Moni, Gopal S. Pillai, Dipu T. Sathyapalan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Medical Mycology Case Reports, Vol 43, Iss , Pp 100638- (2024)
Druh dokumentu: article
ISSN: 2211-7539
DOI: 10.1016/j.mmcr.2024.100638
Popis: A male in his 40's with no known comorbidities developed severe COVID-19 pneumonia and received a four-week course of methylprednisolone. The patient subsequently developed disseminated Aspergillus endocarditis, manifesting as multiple organ involvement including the heart, eyes, and brain. Despite the poor prognosis generally associated with fungal endocarditis, the patient survived following aggressive medical management with a combination of liposomal amphotericin b and voriconazole therapy and is now doing well for over two years and is off antifungal therapy for a year.
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