Invasive pulmonary aspergillosis and hyperthermia in an immunocompetent patient with COVID-19.

Severely ill influenza patients are at increased risk of invasive pulmonary aspergillosis (IPA). Previous reports suggest that Coronavirus Disease 2019 (COVID-19) patients may also be at increased risk of IPA. Here we present an Aspergillus co-infection in a COVID-19 immunocompetent patient, complicated by bacteremia and persistent hyperthermia. We describe the challenges in diagnosing IPA in COVID-19 immunocompetent patients and how the patient responded to the treatment.

[Intensive therapy for patients with Guillian-Barré syndrome].

Guillain-Barré syndrome is the leading cause of acute flaccid paralysis in the industrialized world. Approximately 25% of the patients suffering from Guillain-Barré syndrome develop respiratory failure requiring mechanical ventilation and intensive therapy. We seek answers to when it is optimal to start respiratory supportive therapy and review various complications associated with Guillain-Barré syndrome.

[Management of patients with myocardial rupture after acute myocardial infarction]. / Håndtering af patienter med myokardieruptur efter akut myokardieinfarkt.

Ventricular free wall rupture resulting in pericardial tamponade and shock is a known complication of myocardial infarction. In recent years, the widespread availability of echocardiographia has enabled prompt diagnosis. We report a patient with left ventricular free wall rupture in its most severe form who survived after surgical intervention. We point out the importance of rapid and precise diagnosis through echocardiographia. The presence of pericardial haematoma/fluid, haematoma in the ventricular wall or compression of the ventricles supports this diagnosis. Echocardiographia is an important tool for verifying the diagnosis in this group of patients.