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COVID-19 in adult acute myeloid leukemia patients: a long-term follow-up study from the European Hematology Association survey (EPICOVIDEHA)

F. Marchesi, J. Salmanton-García, Z. Emarah, K. Piukovics, M. Nucci, A. López-García, Z. Ráčil, F. Farina, M. Popova, S. Zompi, E. Audisio, MP. Ledoux, L. Verga, B. Weinbergerová, T. Szotkovski, MG. Da Silva, N. Fracchiolla, N. De Jonge, G....

. 2023 ; 108 (1) : 22-33. [pub] 20230101

Jazyk angličtina Země Itálie

Typ dokumentu multicentrická studie, časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc23004839

Grantová podpora
K23 NS110470 NINDS NIH HHS - United States

Patients with acute myeloid leukemia (AML) are at high risk of dying from coronavirus disease 2019 (COVID-19). The optimal management of AML patients with COVID-19 has not been established. Our multicenter study included 388 adult AML patients diagnosed with COVID-19 between February 2020 and October 2021. The vast majority were receiving or had received AML treatment in the preceding 3 months. COVID-19 was severe in 41.2% and critical in 21.1% of cases. The chemotherapeutic schedule was modified in 174 patients (44.8%), delayed in 68 and permanently discontinued in 106. After a median follow-up of 325 days, 180 patients (46.4%) had died; death was attributed to COVID-19 (43.3%), AML (26.1%) or to a combination of both (26.7%), whereas in 3.9% of cases the reason was unknown. Active disease, older age, and treatment discontinuation were associated with death, whereas AML treatment delay was protective. Seventy-nine patients had a simultaneous AML and COVID-19 diagnosis, with better survival when AML treatment could be delayed (80%; P<0.001). Overall survival in patients with a diagnosis of COVID-19 between January 2020 and August 2020 was significantly lower than that in patients diagnosed between September 2020 and February 2021 and between March 2021 and September 2021 (39.8% vs. 60% vs. 61.9%, respectively; P=0.006). COVID-19 in AML patients was associated with a high mortality rate and modifications of therapeutic algorithms. The best approach to improve survival was to delay AML treatment, whenever possible.

Aga Khan University Hospital Karachi

Amsterdam UMC location VUmc Amsterdam

AOU Sant'Andrea Rome

AOUP Azienda Ospedaliera Università Pisana Cisanello Pisa

ASST Grande Ospedale Metropolitano Niguarda Milan

Azerbaijan Scientific Research Hematology and Transfusilogy Institute Baku

Azienda Ospedaliera Nazionale SS Antonio e Biagio e Cesare Arrigo Alessandria

Azienda Ospedaliera San Gerardo Monza Monza Italy Università Milano Bicocca Milan

Centro Hospitalar e Universitário São João Porto

Clinical Microbiology and Infectious Diseases Department Hospital General Universitario Gregorio Marañón Madrid

Complejo Hospitalario de Navarra Iruña Pamplona

Département d'Hématologie Clinique CHU de Montpellier UMR CNRS 5535 Universite de Montpellier Montpellier

Department of Clinical Haematology Yangon General Hospital University of Medicine Yangon

Department of Haematology Blood Neoplasms and Bone Marrow Transplantation Wroclaw Medical University Wroclaw

Department of Hematological Medicine Kings College Hospital NHS Foundation Trust London

Department of Hematology and Oncology Medical University of Innsbruck Innsbruck

Department of Hematology and Oncology University Hospital Pilsen Czech Republic Department of Histology and Embryology Faculty of Medicine Pilsen Czech Republic

Department of Hematology Copenhagen University Hospital Rigshospitalet Copenhagen

Department of Hematology University Hospital Virgen Macarena University Hospital Virgen del Rocío Instituto de Biomedicina de Sevilla Seville

Department of Hematology Vall d'Hebron Hospital Universitari Experimental Hematology Vall d'Hebron Institute of Oncology Vall d'Hebron Barcelona Hospital Campus Barcelona Spain Departament de Medicina Universitat Autònoma de Barcelona Bellaterra

Department of Infectious Diseases Hospital Clinic de Barcelona University of Barcelona IDIBAPS Barcelona

Department of Infectious Diseases Karolinska University Hospital Stockholm

Department of Internal Medicine Federal University of Rio de Janeiro Rio de Janeiro

Department of Internal Medicine South Division Faculty of Medicine University of Szeged Szeged

Department of Medicine and Surgery University of Insubria and ASST Sette Laghi Ospedale di Circolo of Varese Varese

Department of Medicine Section of Hematology University of Verona Verona

Department of Microbiology Immunology and Transplantation KULeuven Leuven and Department of Hematology UZ Leuven Leuven

Department of Nephrology and Infectious diseases AZ Sint Jan Brugge Oostende AV Brugge

Department of Oncology Hematology and Bone Marrow Transplantation with Section of Pneumology University Medical Center Hamburg Eppendorf Hamburg

Division of Infectious Diseases and Global Public Health Department of Medicine University of California San Diego San Diego CA United States Clinical and Translational Fungal Working Group University of California San Diego La Jolla CA United States Division of Infectious Diseases Department of Internal Medicine Medical University of Graz Graz

Division of Infectious Diseases and Hospital Epidemiology and Department of Clinical Research University and University Hospital of Basel Basel

Dokuz Eylul University Division of Hematology Izmir

Ematologia con Trapianto Ospedale Dimiccoli Barletta Barletta

Fundacion Jimenez Diaz University Hospital Health Research Institute IIS FJD Madrid

Gomel State Medical University Gomel

Hamad Medical Corporation Division of Infectious Diseases Doha

Head of the ICU and Transplant Unit Department of Hematooncology University Hospital of Ostrava Ostrava Poruba Czech Republic

Hematology and Stem Cell Transplant Unit IRCCS Regina Elena National Cancer Institute Rome

Hematology Department Hospital Universitario de Salamanca Salamanca Spain IBSAL Centro de Investigación del Cáncer IBMCC Salamanca

Hematology Unit ASST Spedali Civili Brescia

Hematology Unit Department of Biomedicine and Prevention Tor Vergata University of Rome

Hematology Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan

Hematology Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome

Hematology Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy Hematology Unit Università Cattolica del Sacro Cuore Rome

Hospital Escuela de Agudos Dr Ramón Madariaga Posadas

Hospital Universitario 12 de Octubre Madrid

Hospital Universitario Marqués de Valdecilla Santander

Hospital Univesitario Virgen del Rocío Seville

ICANS Strasbourg

Institute of Hematology and Blood Transfusion Prague Czech Republic

Institute of Hematology and Blood Transfusion Prague Czech Republic Department of Physiology Faculty of Medicine Masaryk University Brno Czech Republic

IRCCS Ospedale San Raffaele Milan

King's College Hospital London

La Paz University Hospital Madrid

Medical University of Graz Department for Infectious Diseases Graz

North Western State Medical University named after Iliá Ilich Méchnikov Saint Petersburg

Oncology Center Mansoura University Mansoura

Ospedale San Bortolo Vicenza

Oxford University Hospitals Oxford

Portuguese Institute of Oncology Lisbon

RM Gorbacheva Research Institute Pavlov University St Petersburg

Stem Cell Transplant Center AOU Citta' della Salute e della Scienza Turin

Sultan Qaboos University Hospital Muscat

Universitätsklinikum Hamburg Eppendorf Hamburg Germany University of Cologne Faculty of Medicine and University Hospital Cologne Department 1 of Internal Medicine Excellence Center for Medical Mycology Cologne

University Hospital Brno Department of Internal Medicine Hematology and Oncology Brno Czech Republic

University Hospital Centre Zagreb Zagreb Croatia Croatian Cooperative Group for Hematological Diseases Croatia Faculty of Medicine University of Zagreb Zagreb Croatia

University Hospital Dubrava Zagreb Croatia

University Hospital Hradec Králové Hradec Králové Czech Republic

University Hospital Olomouc Olomouc Czech Republic

University Hospital Pilsen Pilsen Czech Republic

University Medical Center Groningen Groningen

University of Cologne Faculty of Medicine and University Hospital Cologne Department 1 of Internal Medicine Excellence Center for Medical Mycology Cologne

University of Cologne Faculty of Medicine and University Hospital Cologne Department 1 of Internal Medicine Excellence Center for Medical Mycology Partner Site Bonn Cologne Cologne

University of Kansas Medical Center Kansas City

University of Milan and Fondazione IRCCS Istituto Nazionale dei Tumori Milan

UOC Hematology AORN Cardarelli Naples

Citace poskytuje Crossref.org

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$a Patients with acute myeloid leukemia (AML) are at high risk of dying from coronavirus disease 2019 (COVID-19). The optimal management of AML patients with COVID-19 has not been established. Our multicenter study included 388 adult AML patients diagnosed with COVID-19 between February 2020 and October 2021. The vast majority were receiving or had received AML treatment in the preceding 3 months. COVID-19 was severe in 41.2% and critical in 21.1% of cases. The chemotherapeutic schedule was modified in 174 patients (44.8%), delayed in 68 and permanently discontinued in 106. After a median follow-up of 325 days, 180 patients (46.4%) had died; death was attributed to COVID-19 (43.3%), AML (26.1%) or to a combination of both (26.7%), whereas in 3.9% of cases the reason was unknown. Active disease, older age, and treatment discontinuation were associated with death, whereas AML treatment delay was protective. Seventy-nine patients had a simultaneous AML and COVID-19 diagnosis, with better survival when AML treatment could be delayed (80%; P<0.001). Overall survival in patients with a diagnosis of COVID-19 between January 2020 and August 2020 was significantly lower than that in patients diagnosed between September 2020 and February 2021 and between March 2021 and September 2021 (39.8% vs. 60% vs. 61.9%, respectively; P=0.006). COVID-19 in AML patients was associated with a high mortality rate and modifications of therapeutic algorithms. The best approach to improve survival was to delay AML treatment, whenever possible.
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$a Ráčil, Zdeněk $u Institute of Hematology and Blood Transfusion, Prague, Czech Republic Department of Physiology, Faculty of Medicine, Masaryk University, Brno, Czech Republic; IRCCS Ospedale San Raffaele, Milan
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$a Farina, Francesca $u IRCCS Ospedale San Raffaele, Milan
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$a Popova, Marina $u RM Gorbacheva Research Institute, Pavlov University, St. Petersburg
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$a Zompi, Sofia $u Stem Cell Transplant Center, AOU Citta' della Salute e della Scienza, Turin
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$a Audisio, Ernesta $u Stem Cell Transplant Center, AOU Citta' della Salute e della Scienza, Turin
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$a Ledoux, Marie-Pierre $u ICANS, Strasbourg
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$a Verga, Luisa $u Azienda Ospedaliera San Gerardo - Monza, Monza, Italy Università Milano-Bicocca, Milan
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$a Weinbergerová, Barbora $u University Hospital Brno - Department of Internal Medicine, Hematology and Oncology, Brno, Czech Republic
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$a Szotkovski, Tomas $u University Hospital Olomouc, Olomouc, Czech Republic
700    1_
$a Da Silva, Maria Gomes $u Portuguese Institute of Oncology, Lisbon
700    1_
$a Fracchiolla, Nicola $u Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan
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$a De Jonge, Nick $u Amsterdam UMC, location VUmc, Amsterdam
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$a Collins, Graham $u Oxford University Hospitals, Oxford
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$a Marchetti, Monia $u Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Alessandria
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$a Magliano, Gabriele $u ASST Grande Ospedale Metropolitano Niguarda, Milan
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$a García-Vidal, Carolina $u Department of Infectious Diseases, Hospital Clinic de Barcelona, University of Barcelona, IDIBAPS, Barcelona
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$a Biernat, Monika M $u Department of Haematology, Blood Neoplasms, and Bone Marrow Transplantation, Wroclaw Medical University, Wroclaw
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$a Van Doesum, Jaap $u University Medical Center Groningen, Groningen
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$a Machado, Marina $u Clinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid
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$a Demirkan, Fatih, $d 1965- $u Dokuz Eylul University, Division of Hematology, Izmir $7 xx0316387
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$a Al-Khabori, Murtadha $u Sultan Qaboos University Hospital, Muscat
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$a Žák, Pavel $u University Hospital Hradec Králové, Hradec Králové, Czech Republic
700    1_
$a Víšek, Benjamín $u University Hospital Hradec Králové, Hradec Králové, Czech Republic
700    1_
$a Stoma, Igor $u Gomel State Medical University, Gomel
700    1_
$a Méndez, Gustavo-Adolfo $u Hospital Escuela de Agudos Dr. Ramón Madariaga, Posadas
700    1_
$a Maertens, Johan $u Department of Microbiology, Immunology, and Transplantation, KULeuven, Leuven and Department of Hematology, UZ Leuven, Leuven
700    1_
$a Khanna, Nina $u Division of Infectious Diseases and Hospital Epidemiology, and Department of Clinical Research, University and University Hospital of Basel, Basel
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$a Espigado, Ildefonso $u Department of Hematology, University Hospital Virgen Macarena - University Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS / CSIC), Universidad de Sevilla (Departamento de Medicina), Seville
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$a Dragonetti, Giulia $u Hematology Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Rome
700    1_
$a Fianchi, Luana $u Hematology Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Rome
700    1_
$a Del Principe, Maria Ilaria $u Hematology Unit, Department of Biomedicine and Prevention, Tor Vergata University of Rome
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$a Cabirta, Alba $u Department of Hematology, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra
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$a Ormazabal-Vélez, Irati $u Complejo Hospitalario de Navarra, Iruña-Pamplona
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$a Jaksic, Ozren $u University Hospital Dubrava, Zagreb, Croatia
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$a Buquicchio, Caterina $u Ematologia con Trapianto, Ospedale Dimiccoli Barletta, Barletta
700    1_
$a Bonuomo, Valentina $u Department of Medicine, Section of Hematology, University of Verona, Verona
700    1_
$a Batinić, Josip $u University Hospital Centre Zagreb, Zagreb, Croatia Croatian Cooperative Group for Hematological Diseases (CROHEM), Croatia Faculty of Medicine University of Zagreb, Zagreb, Croatia
700    1_
$a Omrani, Ali S $u Hamad Medical Corporation, Division of Infectious Diseases, Doha
700    1_
$a Lamure, Sylvain $u Département d'Hématologie Clinique, CHU de Montpellier, UMR-CNRS 5535, Universite de Montpellier, Montpellier
700    1_
$a Finizio, Olimpia $u UOC Hematology, AORN Cardarelli, Naples
700    1_
$a Fernández, Noemí $u Hospital Universitario Marqués de Valdecilla, Santander
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$a Falces-Romero, Iker $u La Paz University Hospital, Madrid
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$a Blennow, Ola $u Department of Infectious Diseases, Karolinska University Hospital, Stockholm
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$a Bergantim, Rui $u Centro Hospitalar e Universitário São João, Porto
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$a Ali, Natasha $u Aga Khan University Hospital, Karachi
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$a Win, Sein $u Department of Clinical Haematology, Yangon General Hospital, University of Medicine, Yangon
700    1_
$a Van Praet, Jens $u Department of Nephrology and Infectious diseases, AZ Sint-Jan Brugge-Oostende AV, Brugge
700    1_
$a Tisi, Maria Chiara $u Ospedale San Bortolo, Vicenza
700    1_
$a Shirinova, Ayten $u Azerbaijan Scientific Research Hematology and Transfusilogy Institute, Baku
700    1_
$a Schönlein, Martin $u Department of Oncology, Hematology and Bone Marrow Transplantation with Section of Pneumology, University Medical Center Hamburg-Eppendorf, Hamburg
700    1_
$a Prattes, Juergen $u Medical University of Graz, Department for Infectious Diseases, Graz
700    1_
$a Piedimonte, Monica $u AOU Sant'Andrea, Rome
700    1_
$a Petzer, Verena $u Department of Hematology and Oncology, Medical University of Innsbruck, Innsbruck
700    1_
$a Navrátil, Milan $u Head of the ICU and Transplant Unit, Department of Hematooncology, University Hospital of Ostrava, Ostrava-Poruba, Czech Republic
700    1_
$a Kulasekararaj, Austin $u King's College Hospital, London
700    1_
$a Jindra, Pavel $u University Hospital Pilsen, Pilsen, Czech Republic
700    1_
$a Sramek, Jiří $u Department of Hematology and Oncology, University Hospital Pilsen, Czech Republic Department of Histology and Embryology, Faculty of Medicine, Pilsen, Czech Republic
700    1_
$a Glenthøj, Andreas $u Department of Hematology, Copenhagen University Hospital - Rigshospitalet, Copenhagen
700    1_
$a Fazzi, Rita $u AOUP - Azienda Ospedaliera Università Pisana - Cisanello, Pisa
700    1_
$a De Ramón-Sánchez, Cristina $u Hematology Department, Hospital Universitario de Salamanca, Salamanca, Spain IBSAL, Centro de Investigación del Cáncer-IBMCC (USAL-CSIC), Salamanca
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$a Cattaneo, Chiara $u Hematology Unit, ASST-Spedali Civili, Brescia
700    1_
$a Calbacho, Maria $u Hospital Universitario 12 de Octubre, Madrid
700    1_
$a Bahr, Nathan C $u University of Kansas Medical Center, Kansas City
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$a El-Ashwah, Shaimaa $u Oncology Center, Mansoura University, Mansoura
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$a Cordoba, Raul $u Fundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD, Madrid
700    1_
$a Hanakova, Michaela $u Institute of Hematology and Blood Transfusion, Prague, Czech Republic
700    1_
$a Zambrotta, Giovanni $u Azienda Ospedaliera San Gerardo - Monza, Monza, Italy Università Milano-Bicocca, Milan
700    1_
$a Sciumè, Mariarita $u Hematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan
700    1_
$a Booth, Stephen $u Oxford University Hospitals, Oxford
700    1_
$a Rodrigues, Raquel Nunes $u Portuguese Institute of Oncology, Lisbon
700    1_
$a Sacchi, Maria Vittoria $u Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Alessandria
700    1_
$a García-Poutón, Nicole $u Department of Infectious Diseases, Hospital Clinic de Barcelona, University of Barcelona, IDIBAPS, Barcelona
700    1_
$a Martín-González, Juan-Alberto $u Hospital Univesitario Virgen del Rocío, Seville
700    1_
$a Khostelidi, Sofya $u North-Western State Medical University named after Iliá Ilich Méchnikov, Saint-Petersburg
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$a Rahimli, Laman $u University of Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Cologne, Germany University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Cologne
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700    1_
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700    1_
$a Corradini, Paolo $u University of Milan and Fondazione IRCCS Istituto Nazionale dei Tumori, Milan
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$a Hoenigl, Martin $u Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, San Diego, CA, United States Clinical and Translational Fungal-Working Group, University of California San Diego, La Jolla, CA, United States Division of Infectious Diseases, Department of Internal Medicine, Medical University of Graz, Graz
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$a Klimko, Nikolai $u North-Western State Medical University named after Iliá Ilich Méchnikov, Saint-Petersburg
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$a Pagliuca, Antonio $u Department of Hematological Medicine, Kings College Hospital NHS Foundation Trust, London
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$a Passamonti, Francesco $u Department of Medicine and Surgery, University of Insubria and ASST Sette Laghi, Ospedale di Circolo of Varese, Varese
700    1_
$a Cornely, Oliver A $u University of Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Cologne, Germany University of Cologne, Faculty of Medicine and University Hospital Cologne, Chair Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging- Associated Diseases (CECAD), Cologne, Germany University of Cologne, Faculty of Medicine and University Hospital Cologne, Clinical Trials Centre Cologne (ZKS Köln), Cologne, Germany University of Cologne, Faculty of Medicine and University Hospital Cologne, Center for Molecular Medicine Cologne (CMMC), Cologne, Germany German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne
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$a Pagano, Livio $u Hematology Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Rome, Italy Hematology Unit, Università Cattolica del Sacro Cuore, Rome
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