Table 1 Basic clinical data of the five children with severe adenoviral pneumonia complicated with invasive pulmonary aspergillosis
From: Severe pediatric adenoviral pneumonia combined with invasive pulmonary aspergillosis
No. and sex | Age | Symptoms | Aspergillosis duration (day) | Fever duration (day) | Symptoms on admission | Procalcitonin level (ug/L) | Albumin level (g/L) | Lactose dehydrogenase level U/L | Blood coagulation | Etiology | Chest imaging results |
|---|---|---|---|---|---|---|---|---|---|---|---|
1 M | 1Y1M | Cough, fever | 30 | 14 | Sputum sounds, stridor | 2.28 | 29.9 | 589 | Elevated D-dimer level | Aspergillus fumigatus + Adenovirus | Scattered patchy high-density shadows in both lungs, multiple small cavities in the lower lobe of the left lung, punctate in the basal segment of the left lung, emphysema |
2 F | 2Y2M | Cough, fever | 18 | 16 | Sputum sounds | 0.23 | Normal | 452 | Elevated D-dimer level | A. fumigatus + Adenovirus | Scattered patchy high-density shadows in both lungs |
3 F | 2Y2M | Cough, fever | 14 | 10 | Sputum sounds | 0.20 | 29.6 | 2122 | Elevated D-dimer level | A. fumigatus + Adenovirus + Acinetobacter agrobacterium | Scattered masses and large flakes in both lungs, high-density shadows |
4 F | 8M15D | Cough, fever, poor condition | 38 | 30 | Severe sputum sounds, light stridor | 0.46 | 28.0 | 2194 | Elevated D-dimer level, reduced fibrinogen level | A. terreus + Adenovirus + Mycoplasma pneumoniae + parainfluenza virus | Scattered patchy high-density shadows in both lungs, small pleural effusion on the left side |
5 F | 2Y2M | Cough, fever, poor condition, mental fatigue | 58 | 35 | Sputum sounds, stridor | 0.39 | 34.2 | 718 | Elevated D-dimer level, reduced fibrinogen level | A. fumigatus + Adenovirus | Scattered patchy high-density shadows in both lungs |