Post covid-19 invasive pulmonary Aspergillosis: A case report

Fahmi H Kakamad; Safeen O Mahmood; Hawbash M Rahim; Berwn A Abdulla; Hiwa O Abdullah; Snur Othman; Shvan H Mohammed; Suhaib H Kakamad; Shevan M Mustafa; Abdulwahid M Salih

doi:10.1016/j.ijscr.2021.105865

Post covid-19 invasive pulmonary Aspergillosis: A case report

Int J Surg Case Rep. 2021 May:82:105865. doi: 10.1016/j.ijscr.2021.105865. Epub 2021 Apr 6.

Authors

Affiliations

¹ Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq. Electronic address: fahmi.hussein@univsul.edu.iq.
² Faculty of Medical Sciences, School of Medicine, Department Medical Microbiology, University of Sulaimani, Sulaimani, Kurdistan, Iraq.
³ Smart Health Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.
⁴ Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.
⁵ Smart Health Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq; Faculty of Medical Sciences, School of Medicine, University of Sulaimani, Sulaimani, Kurdistan, Iraq.

Abstract

Introduction and importance: Several complications after corona viral infection-19 (COVID-19) have been reported. The study aims is to present a case with post-covid-19 pulmonary fungal infection with antifungal resistance characteristics.

Case presentation: A 50-year-old male presented with hemoptysis, dyspnea, cough, fever, and rigor for 4-month duration. Three weeks before this complaint, he had cured of COVID-19. Investigations showed multiple ill-defined cavitary lesions involving the left upper lobe. The patient underwent a left upper lobectomy. The post-operative period was uneventful.

Clinical discussion: All studies of COVID-19 fungal infections reported occurrence during the COVID-19 infection, mostly 14 days after the appearance of COVID-19 symptoms. The case in the current study was a 50-year-old patient, who was previously diagnosed with COVID-19 for a period of 4 months. After a few days from his recovery, the patient developed dyspnea, cough, fever, and rigor again.

Conclusion: Pulmonary aspergillosis is a serious complication of COVID-19 patients that may not respond well to medical therapy. Pulmonary resection is the last and effective strategy to control the disease.

Keywords: CAPA; COVID-19; Complications; Fungal infection.

Publication types

Case Reports