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

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.