Table 1 Patient characteristics Gender Female Age (years) 74 Medical history Reflux, polyarthrosis, stopped smoking 20 years ago Medication Pantoprazol (PPI) and Etoricoxib (NSAID) Underlying immuno-compromising condition None Initial symptoms Fever, dry cough, dyspneic, diarrhea ARDS Prone positioning Yes vvECMO No Acute renal failure Yes, continuous venovenous hemofiltration (CVVH) IPA definition EORTC/MSG criteria N/A (modified) AspICU algorithm N/A