{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:23:48Z","timestamp":1790137428451,"version":"4.0.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T00:00:00Z","timestamp":1583798400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Fungal Infection Network of Switzerland"},{"name":"Santos-Suarez Foundation"},{"DOI":"10.13039\/501100008982","name":"National Science Foundation","doi-asserted-by":"publisher","award":["PZ00P3-161140"],"award-info":[{"award-number":["PZ00P3-161140"]}],"id":[{"id":"10.13039\/501100008982","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Spanish Ministry of Science, Innovation and Universities","award":["CP 18\/00073"],"award-info":[{"award-number":["CP 18\/00073"]}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Aspergillus spp. of section Usti (A. ustus) represent a rare cause of invasive aspergillosis (IA). This multicenter study describes the epidemiology and outcome of A. ustus infections.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients with A. ustus isolated from any clinical specimen were retrospectively identified in 22 hospitals from 8 countries. When available, isolates were sent for species identification (BenA\/CaM sequencing) and antifungal susceptibility testing. Additional cases were identified by review of the literature. Cases were classified as proven\/probable IA or no infection, according to standard international criteria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Clinical report forms were obtained for 90 patients, of whom 27 had proven\/probable IA. An additional 45 cases were identified from literature review for a total of 72 cases of proven\/probable IA. Hematopoietic cell and solid-organ transplant recipients accounted for 47% and 33% cases, respectively. Only 8% patients were neutropenic at time of diagnosis. Ongoing antimold prophylaxis was present in 47% of cases. Pulmonary IA represented 67% of cases. Primary or secondary extrapulmonary sites of infection were observed in 46% of cases, with skin being affected in 28% of cases. Multiple antifungal drugs were used (consecutively or in combination) in 67% of cases. The 24-week mortality rate was 58%. A. calidoustus was the most frequent causal agent. Minimal inhibitory concentrations encompassing 90% isolates (MIC90) were 1, 8, &amp;gt;16, and 4 \u00b5g\/mL for amphotericin B, voriconazole, posaconazole, and isavuconazole, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Aspergillus ustus IA mainly occurred in nonneutropenic transplant patients and was frequently associated with extrapulmonary sites of infection. Mortality rate was high and optimal antifungal therapy remains to be defined.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/cid\/ciaa230","type":"journal-article","created":{"date-parts":[[2020,3,6]],"date-time":"2020-03-06T12:24:36Z","timestamp":1583497476000},"page":"1379-1385","source":"Crossref","is-referenced-by-count":46,"title":["Invasive Aspergillosis Due to <i>Aspergillus<\/i> Section <i>Usti<\/i>: A Multicenter Retrospective Study"],"prefix":"10.1093","volume":"72","author":[{"given":"Emmanouil","family":"Glampedakis","sequence":"first","affiliation":[{"name":"Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Cassaing","sequence":"additional","affiliation":[{"name":"Department of Parasitology and Mycology, Toulouse University Hospital, Paul Sabatier University, Toulouse, 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Groupe Hospitalier Saint-Louis-Lariboisi\u00e8re-Fernand-Widal, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionysios","family":"Neofytos","sequence":"additional","affiliation":[{"name":"Infectious Disease Service, Department of Internal Medicine, Geneva University Hospital, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter W","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Hennequin","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, Inserm, Centre de Recherche Saint-Antoine, CRSA, AP-HP, H\u00f4pital Saint-Antoine, Paris, 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Orsola-Malpighi University Hospital, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Khanna","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Hospital Epidemiology, University and University Hospital of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"El\u00e9na","family":"Charpentier","sequence":"additional","affiliation":[{"name":"Department of Parasitology and Mycology, Toulouse University Hospital, Paul Sabatier University, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Bonnal","sequence":"additional","affiliation":[{"name":"Parasitology Mycology Laboratory, Bichat Claude Bernard Universitary Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Brun","sequence":"additional","affiliation":[{"name":"Parasitology-Mycology Department, Avicenne University Hospital, AP-HP, Bobigny, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederic","family":"Gabriel","sequence":"additional","affiliation":[{"name":"CHU Bordeaux, Department of Parasitology and Mycology, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Riat","sequence":"additional","affiliation":[{"name":"Service of Laboratory Medicine, Department of Diagnostic, Geneva University Hospitals and Geneva University, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhard","family":"Zbinden","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrice","family":"Le Pape","sequence":"additional","affiliation":[{"name":"Parasitology and Medical Mycology Laboratory, Nantes University Hospital, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolai","family":"Klimko","sequence":"additional","affiliation":[{"name":"Mechnikov North-Western State Medical University, St Petersburg, Russian Federation, St Petersburg, Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russel E","family":"Lewis","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm","family":"Richardson","sequence":"additional","affiliation":[{"name":"Mycology Reference Centre-Manchester, ECMM Center of Excellence in Clinical and Laboratory Mycology and Clinical Studies, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Cagkan","family":"\u0130nkaya","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alix T","family":"Coste","sequence":"additional","affiliation":[{"name":"Institute of Microbiology, Department of Laboratories, Lausanne University Hospital and University of Lausanne, Lausanne, 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