Abstract
We report 2 patients with invasive aspergillosis after infection with pandemic (H1N1) 2009. Influenza viruses are known to cause immunologic defects and impair ciliary clearance. These defects, combined with high-dose corticosteroids prescribed during influenza-associated adult respiratory distress syndrome, may be novel risk factors predisposing otherwise immunocompetent patients to invasive aspergillosis.
MeSH terms
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Adult
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Antifungal Agents / administration & dosage
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Aspergillosis / drug therapy
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Aspergillosis / etiology*
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Aspergillosis / pathology
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Aspergillus fumigatus*
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Fatal Outcome
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Glucocorticoids / administration & dosage
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Humans
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Immunocompetence
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Influenza A Virus, H1N1 Subtype*
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Influenza, Human / complications*
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Influenza, Human / immunology
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Influenza, Human / virology
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Male
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Methylprednisolone / administration & dosage
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Middle Aged
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Respiratory Distress Syndrome / drug therapy
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Respiratory Distress Syndrome / etiology
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Risk Factors
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Time Factors
Substances
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Antifungal Agents
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Glucocorticoids
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Methylprednisolone