Germany (5/19; 26.3%)ARDS [50]  62/F  Cholecystectomy for cholecystitis, arterial hypertension, obesity with sleep apnea, hypercholesterolemia, ex-smoker, COPD (GOLD 2)  Putative  Inhaled steroids for COPD  GM Serum negative GM BALF> 2.5 qPCR BALF = Positive  Aspergillus fumigatus (S) culture from BALF  VCZ  Died