Covid-Associated Pulmonary Aspergillosis: Does Law of Parsimony Always Work in Resource-Limited Setting?

K. Vysakha, Jyothi Edakalavan, Lakshmy M Rajappan, Sasikumari O, Shahul Hameed
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Abstract

Aspergillosis species of fungus causes invasive disease in the setting of immunocompromise. Of the various manifestations, invasive aspergillosis is the severest form and failure to timely identify and treat the infection will lead to mortality and morbidity. The difficult task is to isolate the pathogen and confirm the diagnosis as the criteria for the same are stringent. In the setting of severe COVID-19, this poses a risk, especially in a resource-limited setting. We report a case of Covid-associated pulmonary aspergillosis in a resource-limited setting which was confirmed by histopathologic. We would like to highlight that a high index of suspicion and evaluation in the right setting is necessary to identify the pathogen.
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与新冠病毒相关的肺曲霉病:节俭法则在资源有限的环境下总是有效吗?
曲霉病是一种真菌,在免疫功能低下的情况下引起侵袭性疾病。在各种表现中,侵袭性曲霉病是最严重的形式,不及时发现和治疗感染将导致死亡和发病。困难的任务是分离病原体并确认诊断,因为诊断标准非常严格。在COVID-19严重疫情的情况下,这构成了风险,特别是在资源有限的情况下。我们报告一例与covid - 19相关的肺曲霉病,在资源有限的环境下,经组织病理学证实。我们要强调指出,在正确的环境下,高度的怀疑和评估指数对于确定病原体是必要的。
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期刊介绍: Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.
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