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PMC:7558333 / 1558-19833 JSONTXT

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LitCovid-PD-FMA-UBERON

Id Subject Object Predicate Lexical cue fma_id
T4 1352-1361 Body_part denotes cytokines http://purl.org/sig/ont/fma/fma84050
T5 2241-2249 Body_part denotes alveolar http://purl.org/sig/ont/fma/fma264783
T6 2345-2350 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T7 2411-2414 Body_part denotes DNA http://purl.org/sig/ont/fma/fma74412
T8 2711-2716 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T9 2725-2730 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T10 3397-3403 Body_part denotes sputum http://purl.org/sig/ont/fma/fma312401
T11 3657-3663 Body_part denotes kidney http://purl.org/sig/ont/fma/fma7203
T12 3674-3678 Body_part denotes body http://purl.org/sig/ont/fma/fma256135
T13 3893-3898 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T14 3909-3914 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T15 3934-3939 Body_part denotes Chest http://purl.org/sig/ont/fma/fma9576
T16 4067-4072 Body_part denotes Organ http://purl.org/sig/ont/fma/fma67498
T17 5442-5445 Body_part denotes DNA http://purl.org/sig/ont/fma/fma74412
T18 5772-5777 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T19 5914-5922 Body_part denotes antibody http://purl.org/sig/ont/fma/fma62871
T20 5942-5945 Body_part denotes IgG http://purl.org/sig/ont/fma/fma62872
T21 6053-6058 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T22 6238-6241 Body_part denotes DNA http://purl.org/sig/ont/fma/fma74412
T23 7210-7215 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T24 7575-7580 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T25 8160-8165 Body_part denotes chest http://purl.org/sig/ont/fma/fma9576
T26 8282-8287 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T27 8934-8941 Body_part denotes protein http://purl.org/sig/ont/fma/fma67257
T28 9328-9331 Body_part denotes DNA http://purl.org/sig/ont/fma/fma74412
T29 10114-10119 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T30 11021-11026 Body_part denotes chest http://purl.org/sig/ont/fma/fma9576
T31 11269-11274 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T32 11453-11470 Body_part denotes respiratory tract http://purl.org/sig/ont/fma/fma265130
T33 11599-11607 Body_part denotes antibody http://purl.org/sig/ont/fma/fma62871
T34 11814-11819 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T35 12025-12033 Body_part denotes alveolar http://purl.org/sig/ont/fma/fma264783
T36 13930-13941 Body_part denotes solid organ http://purl.org/sig/ont/fma/fma55670
T37 14812-14817 Body_part denotes chest http://purl.org/sig/ont/fma/fma9576
T38 15576-15581 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T39 16005-16009 Body_part denotes gene http://purl.org/sig/ont/fma/fma74402
T40 16106-16111 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T41 16514-16522 Body_part denotes antibody http://purl.org/sig/ont/fma/fma62871
T42 16716-16721 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083
T43 16729-16734 Body_part denotes blood http://purl.org/sig/ont/fma/fma9670
T44 16867-16875 Body_part denotes antibody http://purl.org/sig/ont/fma/fma62871
T45 17784-17789 Body_part denotes serum http://purl.org/sig/ont/fma/fma63083

LitCovid-PD-UBERON

Id Subject Object Predicate Lexical cue uberon_id
T4 2345-2350 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T5 2711-2716 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T6 2725-2730 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T7 3397-3403 Body_part denotes sputum http://purl.obolibrary.org/obo/UBERON_0007311
T8 3657-3663 Body_part denotes kidney http://purl.obolibrary.org/obo/UBERON_0002113
T9 3893-3898 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T10 3909-3914 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T11 3934-3939 Body_part denotes Chest http://purl.obolibrary.org/obo/UBERON_0001443
T12 4067-4072 Body_part denotes Organ http://purl.obolibrary.org/obo/UBERON_0000062
T13 5772-5777 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T14 6053-6058 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T15 7210-7215 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T16 7575-7580 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T17 8160-8165 Body_part denotes chest http://purl.obolibrary.org/obo/UBERON_0001443
T18 8282-8287 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T19 10114-10119 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T20 11021-11026 Body_part denotes chest http://purl.obolibrary.org/obo/UBERON_0001443
T21 11269-11274 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T22 11453-11470 Body_part denotes respiratory tract http://purl.obolibrary.org/obo/UBERON_0000065
T23 11814-11819 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T24 13936-13941 Body_part denotes organ http://purl.obolibrary.org/obo/UBERON_0000062
T25 14812-14817 Body_part denotes chest http://purl.obolibrary.org/obo/UBERON_0001443
T26 15576-15581 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T27 16106-16111 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T28 16716-16721 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977
T29 16729-16734 Body_part denotes blood http://purl.obolibrary.org/obo/UBERON_0000178
T30 17784-17789 Body_part denotes serum http://purl.obolibrary.org/obo/UBERON_0001977

LitCovid-PD-MONDO

Id Subject Object Predicate Lexical cue mondo_id
T14 85-88 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T15 486-489 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T16 647-669 Disease denotes invasive aspergillosis http://purl.obolibrary.org/obo/MONDO_0000240
T17 656-669 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T18 671-673 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T19 913-921 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T20 1075-1083 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T21 1108-1143 Disease denotes acute respiratory distress syndrome http://purl.obolibrary.org/obo/MONDO_0006502
T22 1114-1143 Disease denotes respiratory distress syndrome http://purl.obolibrary.org/obo/MONDO_0009971
T23 1145-1149 Disease denotes ARDS http://purl.obolibrary.org/obo/MONDO_0006502
T24 1220-1222 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T25 1486-1499 Disease denotes infections in http://purl.obolibrary.org/obo/MONDO_0005550
T26 1500-1508 Disease denotes SARS-CoV http://purl.obolibrary.org/obo/MONDO_0005091
T27 1595-1597 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T28 1763-1771 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T29 1793-1806 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T30 1808-1812 Disease denotes CAPA http://purl.obolibrary.org/obo/MONDO_0007163
T31 2041-2049 Disease denotes SARS-CoV http://purl.obolibrary.org/obo/MONDO_0005091
T32 2129-2144 Disease denotes viral infection http://purl.obolibrary.org/obo/MONDO_0005108
T33 2135-2144 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T34 2869-2878 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T35 2882-2890 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T36 3088-3096 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T37 3330-3338 Disease denotes SARS-CoV http://purl.obolibrary.org/obo/MONDO_0005091
T38 3586-3594 Disease denotes diabetes http://purl.obolibrary.org/obo/MONDO_0005015
T39 3596-3632 Disease denotes hypertension, cardiovascular disease http://purl.obolibrary.org/obo/MONDO_0001302
T40 3596-3608 Disease denotes hypertension http://purl.obolibrary.org/obo/MONDO_0005044
T41 3610-3632 Disease denotes cardiovascular disease http://purl.obolibrary.org/obo/MONDO_0004995
T42 3634-3651 Disease denotes pulmonary disease http://purl.obolibrary.org/obo/MONDO_0005275
T43 3657-3671 Disease denotes kidney disease http://purl.obolibrary.org/obo/MONDO_0001343|http://purl.obolibrary.org/obo/MONDO_0005240
T45 5318-5326 Disease denotes SARS-CoV http://purl.obolibrary.org/obo/MONDO_0005091
T46 7009-7017 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T47 7069-7073 Disease denotes ARDS http://purl.obolibrary.org/obo/MONDO_0006502
T48 7681-7694 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T49 7829-7842 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T50 8078-8086 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T51 8096-8100 Disease denotes ARDS http://purl.obolibrary.org/obo/MONDO_0006502
T52 8383-8385 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T53 8675-8688 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T54 8734-8747 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T55 8970-8983 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T56 9188-9210 Disease denotes invasive aspergillosis http://purl.obolibrary.org/obo/MONDO_0000240
T57 9197-9210 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T58 10788-10790 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T59 10869-10871 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T60 11702-11704 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T61 11761-11763 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T62 12093-12095 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T63 12136-12138 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T64 12231-12239 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T65 12240-12249 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T66 12301-12314 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T67 12373-12386 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T68 12496-12505 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T69 12524-12526 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T70 12634-12647 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T71 12715-12737 Disease denotes invasive aspergillosis http://purl.obolibrary.org/obo/MONDO_0000240
T72 12724-12737 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T73 12788-12790 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T74 13001-13003 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T75 13174-13190 Disease denotes fungal infection http://purl.obolibrary.org/obo/MONDO_0002041
T76 13181-13190 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T77 13264-13267 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T78 13370-13378 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T79 13439-13447 Disease denotes Sars-CoV http://purl.obolibrary.org/obo/MONDO_0005091
T80 13454-13463 Disease denotes influenza http://purl.obolibrary.org/obo/MONDO_0005812
T81 13464-13474 Disease denotes infections http://purl.obolibrary.org/obo/MONDO_0005550
T82 13520-13523 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T83 13603-13605 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T84 13644-13646 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T85 13990-13993 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T86 14006-14008 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T87 14179-14192 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T88 14361-14378 Disease denotes FUNgal infections http://purl.obolibrary.org/obo/MONDO_0002041
T89 14475-14478 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T90 14532-14540 Disease denotes SARS-CoV http://purl.obolibrary.org/obo/MONDO_0005091
T91 14546-14555 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T92 14640-14648 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T93 14672-14676 Disease denotes ARDS http://purl.obolibrary.org/obo/MONDO_0006502
T94 14974-14982 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T95 15089-15098 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T96 15121-15123 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T97 15131-15139 Disease denotes COVID-19 http://purl.obolibrary.org/obo/MONDO_0100096
T98 15477-15479 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T99 16926-16946 Disease denotes respiratory diseases http://purl.obolibrary.org/obo/MONDO_0005087
T100 17002-17015 Disease denotes aspergillosis http://purl.obolibrary.org/obo/MONDO_0005657
T101 17028-17030 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T102 17135-17144 Disease denotes infection http://purl.obolibrary.org/obo/MONDO_0005550
T103 17169-17171 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T104 17182-17184 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T105 17196-17198 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T106 17218-17220 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T107 17966-17969 Disease denotes IFD http://purl.obolibrary.org/obo/MONDO_0009852
T108 17984-17986 Disease denotes IA http://purl.obolibrary.org/obo/MONDO_0000240
T109 18046-18058 Disease denotes Pneumocystis http://purl.obolibrary.org/obo/MONDO_0019121
T110 18082-18092 Disease denotes infections http://purl.obolibrary.org/obo/MONDO_0005550

LitCovid-PD-CLO

Id Subject Object Predicate Lexical cue
T16 90-93 http://purl.obolibrary.org/obo/CLO_0051582 denotes has
T17 126-127 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T18 604-607 http://purl.obolibrary.org/obo/CLO_0051582 denotes has
T19 619-620 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T20 773-776 http://purl.obolibrary.org/obo/CLO_0051582 denotes has
T21 1466-1478 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T22 1848-1855 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T23 2345-2350 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T24 2345-2350 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T25 2575-2584 http://purl.obolibrary.org/obo/BFO_0000030 denotes objective
T26 2711-2716 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T27 2711-2716 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T28 2844-2856 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T29 3085-3086 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T30 3178-3179 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T31 3657-3663 http://purl.obolibrary.org/obo/UBERON_0002113 denotes kidney
T32 3657-3663 http://www.ebi.ac.uk/efo/EFO_0000927 denotes kidney
T33 3657-3663 http://www.ebi.ac.uk/efo/EFO_0000929 denotes kidney
T34 3882-3883 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T35 3893-3898 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T36 3893-3898 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T37 3927-3932 http://purl.obolibrary.org/obo/UBERON_0000473 denotes tests
T38 3934-3939 http://www.ebi.ac.uk/efo/EFO_0000965 denotes Chest
T39 4067-4072 http://purl.obolibrary.org/obo/UBERON_0003103 denotes Organ
T40 5475-5480 http://purl.obolibrary.org/obo/NCBITaxon_10239 denotes virus
T41 5497-5498 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T42 5515-5521 http://purl.obolibrary.org/obo/OBI_0000968 denotes device
T43 5555-5556 http://purl.obolibrary.org/obo/CLO_0001020 denotes A
T44 5583-5584 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T45 5748-5753 http://purl.obolibrary.org/obo/UBERON_0000473 denotes tests
T46 6151-6152 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T47 6167-6173 http://purl.obolibrary.org/obo/OBI_0000968 denotes device
T48 6256-6257 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T49 6445-6449 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T50 6469-6474 http://purl.obolibrary.org/obo/UBERON_0000473 denotes tests
T51 6578-6582 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test
T52 6584-6589 http://purl.obolibrary.org/obo/UBERON_0000473 denotes Tests
T53 6704-6709 http://purl.obolibrary.org/obo/UBERON_0000473 denotes tests
T54 6842-6850 http://purl.obolibrary.org/obo/UBERON_0000473 denotes test was
T55 6994-6995 http://purl.obolibrary.org/obo/CLO_0001020 denotes A
T56 7006-7008 http://purl.obolibrary.org/obo/CLO_0053799 denotes 45
T57 7112-7113 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T58 7390-7392 http://purl.obolibrary.org/obo/CLO_0053799 denotes 45
T59 7594-7595 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T60 8160-8165 http://www.ebi.ac.uk/efo/EFO_0000965 denotes chest
T61 8234-8235 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T62 8282-8287 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T63 8282-8287 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T64 8329-8338 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonized
T65 8363-8364 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T66 8577-8579 http://purl.obolibrary.org/obo/CLO_0050050 denotes S1
T67 8702-8714 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T68 8771-8772 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T69 8800-8804 http://purl.obolibrary.org/obo/UBERON_0003101 denotes male
T70 8800-8804 http://www.ebi.ac.uk/efo/EFO_0000970 denotes male
T71 9386-9387 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T72 9570-9571 http://purl.obolibrary.org/obo/CLO_0001020 denotes A
T73 9692-9693 http://purl.obolibrary.org/obo/CLO_0001020 denotes A
T74 9790-9791 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T75 9848-9849 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T76 10066-10067 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T77 10114-10119 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T78 10114-10119 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T79 10148-10149 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T80 10172-10173 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T81 10202-10203 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T82 10229-10230 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T83 10277-10278 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T84 10479-10480 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T85 10544-10549 http://purl.obolibrary.org/obo/UBERON_0000473 denotes Tests
T86 10636-10638 http://purl.obolibrary.org/obo/CLO_0053799 denotes 45
T87 10777-10778 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T88 10792-10794 http://purl.obolibrary.org/obo/CLO_0050507 denotes 22
T89 10950-10959 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonized
T90 11021-11026 http://www.ebi.ac.uk/efo/EFO_0000965 denotes chest
T91 11098-11099 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T92 11202-11211 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonized
T93 11239-11240 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T94 11351-11352 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T95 11416-11417 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T96 11536-11537 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T97 11546-11558 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T98 11608-11619 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing was
T99 11775-11776 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T100 11964-11965 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T101 12144-12156 http://purl.obolibrary.org/obo/UBERON_0001155 denotes in colonized
T102 12473-12474 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T103 12507-12519 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T104 12659-12671 http://purl.obolibrary.org/obo/UBERON_0001155 denotes in colonized
T105 12686-12688 http://purl.obolibrary.org/obo/CLO_0050509 denotes 27
T106 12768-12769 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T107 12856-12865 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonized
T108 12934-12935 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T109 13063-13066 http://purl.obolibrary.org/obo/CLO_0050509 denotes 2/7
T110 13280-13281 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T111 13684-13685 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T112 13936-13941 http://purl.obolibrary.org/obo/UBERON_0003103 denotes organ
T113 14149-14150 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T114 14441-14442 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T115 14575-14576 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T116 14812-14817 http://www.ebi.ac.uk/efo/EFO_0000965 denotes chest
T117 15072-15084 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T118 15111-15112 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T119 15140-15143 http://purl.obolibrary.org/obo/CLO_0051582 denotes has
T120 15163-15164 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T121 15334-15335 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T122 15493-15494 http://purl.obolibrary.org/obo/CLO_0001020 denotes A
T123 15513-15514 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T124 15576-15581 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T125 15576-15581 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T126 15831-15832 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T127 15905-15907 http://purl.obolibrary.org/obo/CLO_0053733 denotes 11
T128 16005-16009 http://purl.obolibrary.org/obo/OGG_0000000002 denotes gene
T129 16106-16111 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T130 16106-16111 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T131 16523-16530 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T132 16555-16567 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T133 16607-16619 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T134 16729-16734 http://purl.obolibrary.org/obo/UBERON_0000178 denotes blood
T135 16729-16734 http://www.ebi.ac.uk/efo/EFO_0000296 denotes blood
T136 16876-16883 http://purl.obolibrary.org/obo/UBERON_0000473 denotes testing
T137 16961-16962 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T138 17146-17158 http://purl.obolibrary.org/obo/UBERON_0001155 denotes colonization
T139 17242-17243 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T140 17725-17726 http://purl.obolibrary.org/obo/CLO_0001020 denotes A
T141 17834-17835 http://purl.obolibrary.org/obo/CLO_0001020 denotes a
T142 17850-17853 http://purl.obolibrary.org/obo/CLO_0051582 denotes has
T143 17893-17895 http://purl.obolibrary.org/obo/CLO_0050509 denotes 27

LitCovid-PD-HP

Id Subject Object Predicate Lexical cue hp_id
T1 1114-1134 Phenotype denotes respiratory distress http://purl.obolibrary.org/obo/HP_0002098
T2 3596-3608 Phenotype denotes hypertension http://purl.obolibrary.org/obo/HP_0000822
T3 3610-3632 Phenotype denotes cardiovascular disease http://purl.obolibrary.org/obo/HP_0001626
T4 3657-3671 Phenotype denotes kidney disease http://purl.obolibrary.org/obo/HP_0000112
T5 4052-4058 Phenotype denotes Sepsis http://purl.obolibrary.org/obo/HP_0100806
T6 14795-14800 Phenotype denotes fever http://purl.obolibrary.org/obo/HP_0001945
T7 14812-14822 Phenotype denotes chest pain http://purl.obolibrary.org/obo/HP_0100749
T8 14832-14839 Phenotype denotes dyspnea http://purl.obolibrary.org/obo/HP_0002094
T9 14841-14851 Phenotype denotes hemoptysis http://purl.obolibrary.org/obo/HP_0002105
T10 14866-14891 Phenotype denotes respiratory insufficiency http://purl.obolibrary.org/obo/HP_0002093

LitCovid-PD-GO-BP

Id Subject Object Predicate Lexical cue
T1 2129-2144 http://purl.obolibrary.org/obo/GO_0016032 denotes viral infection
T2 3431-3452 http://purl.obolibrary.org/obo/GO_0001171 denotes reverse transcription
T3 3439-3452 http://purl.obolibrary.org/obo/GO_0006351 denotes transcription
T4 5379-5384 http://purl.obolibrary.org/obo/GO_0019835 denotes Lysis
T5 11107-11125 http://purl.obolibrary.org/obo/GO_0016046 denotes detection of fungi

LitCovid-PD-GlycoEpitope

Id Subject Object Predicate Lexical cue glyco_epitope_db_id
T2 1829-1842 GlycoEpitope denotes galactomannan http://www.glycoepitope.jp/epitopes/EP0510
T3 1844-1846 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T4 2197-2210 GlycoEpitope denotes galactomannan http://www.glycoepitope.jp/epitopes/EP0510
T5 2212-2214 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T6 2370-2372 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T7 2731-2733 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T8 4438-4440 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T9 5798-5800 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T10 5811-5813 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T11 7225-7227 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T12 10240-10242 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T13 11253-11255 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T14 11831-11833 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T15 15627-15629 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T16 16090-16092 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T17 16722-16724 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510
T18 16897-16899 GlycoEpitope denotes GM http://www.glycoepitope.jp/epitopes/EP0510

LitCovid-sentences

Id Subject Object Predicate Lexical cue
T16 0-2 Sentence denotes 1.
T17 3-15 Sentence denotes Introduction
T18 16-198 Sentence denotes Molecular tools as diagnostic criteria for invasive fungal diseases (IFD) has long been questioned because of a lack of reproducibility and insufficient standardization of protocols.
T19 199-416 Sentence denotes Thanks to initiatives such as FPCRI (www.fpcri.eu [1]) and to the dramatic improvement of the quality assessment of molecular technics, Aspergillus PCR is now included in the new EORTC criteria for classification [2].
T20 417-589 Sentence denotes Regarding intensive care units (ICU) patients, the classification of IFD mainly refers on criteria adapted from neutropenic patients or relies on single center experiences.
T21 590-717 Sentence denotes One algorithm has emerged as a valuable tool to classify invasive aspergillosis (IA) in ICU patients: the AspICU algorithm [3].
T22 718-985 Sentence denotes This classification is considered as robust because it has been evaluated in patients for whom autopsy results were available, but it is quite awkward to use in routine practice, particularly in COVID-19 patients with clinical and CT-scan signs hard to interpret [4].
T23 986-1067 Sentence denotes Besides, it does not include molecular markers, which are now used routinely [5].
T24 1068-1362 Sentence denotes During COVID-19, patients presenting an acute respiratory distress syndrome (ARDS) shared risk factors and underlying diseases classically reported for IA, such as intubation and mechanical ventilation, corticosteroid therapy, immunological storm with high production of inflammatory cytokines.
T25 1363-1552 Sentence denotes Warnings following preliminary cohort studies from various countries prompted the monitoring of fungal colonization and co-infections in SARS-CoV-2-infected patients hospitalized in an ICU.
T26 1553-1710 Sentence denotes However, the entry criterion for putative IA, according to Blot et al., is an Aspergillus-positive culture endotracheal aspirate, which may lack specificity.
T27 1711-1953 Sentence denotes In the recent review by Arastehfar et al. [6], many COVID-19-associated pulmonary aspergillosis (CAPA) benefited from galactomannan (GM) testing of bronchoalveolar fluid (BALF) or even of tracheal aspirates (not approved by the manufacturer).
T28 1954-2145 Sentence denotes However, some laboratories, such as ours, have stopped various manipulations of highly SARS-CoV-2-infected samples in order to limit the exposure of laboratory technicians to viral infection.
T29 2146-2322 Sentence denotes Then, direct examination of respiratory samples or galactomannan (GM) determination in broncho-alveolar lavage have thus been replaced by the systematic use of molecular tools.
T30 2323-2564 Sentence denotes While performances of blood biomarkers such as GM, (1-3)β-d-glucan (BDG) or Aspergillus DNA detection are well evaluated in neutropenic patients, their clinical value is far less known in other conditions and still need evaluation in an ICU.
T31 2565-2734 Sentence denotes Here, our objective was to evaluate the concordance between molecular detection of Aspergillus in respiratory and culture and concordance between blood PCR and serum GM.
T32 2735-2900 Sentence denotes We also aimed at assessing the ability of Aspergillus PCRs to help categorizing patients in the continuum of colonization to invasive infection in COVID-19 patients.
T33 2901-2955 Sentence denotes Arguments to complement AspICU criteria are suggested.
T34 2957-2959 Sentence denotes 2.
T35 2960-2981 Sentence denotes Materials and Methods
T36 2983-2987 Sentence denotes 2.1.
T37 2988-3010 Sentence denotes Population of Patients
T38 3011-3224 Sentence denotes Forty-five intubated and mechanically ventilated patients hospitalized in a “COVID-19 ICU” of Rennes teaching hospital were screened for this study and benefited from a systematic monitoring to detect Aspergillus.
T39 3225-3313 Sentence denotes The hospital’s ethics committee (N 20-56 obtained the 30 April 2020) approved the study.
T40 3314-3496 Sentence denotes The presence of SARS-CoV-2 in respiratory specimens (nasal and pharyngeal swabs or sputum) was detected by real time reverse transcription-polymerase chain reaction (RT-PCR) methods.
T41 3497-3837 Sentence denotes The following data were recorded: age, patient’s preexisting condition (current smoking, diabetes, hypertension, cardiovascular disease, pulmonary disease, and kidney disease), body mass index, ICU length of stay, duration of mechanical ventilation, ventilator-free days at day 28, need for prone position ventilation, and death in the ICU.
T42 3838-3933 Sentence denotes Initial clinical laboratory workup included a complete blood count and serum biochemical tests.
T43 3934-3995 Sentence denotes Chest CT scans were performed during the ICU hospitalization.
T44 3996-4198 Sentence denotes The Simplified Acute Physiology Score (SAPS II) and the Sepsis-Related Organ Failure Assessment (SOFA) score at admission in ICU, at day 7 and 14 days after admission were used to assess severity [7,8].
T45 4200-4204 Sentence denotes 2.2.
T46 4205-4226 Sentence denotes Aspergillus Detection
T47 4227-4498 Sentence denotes Respiratory samples, either bronchial or endotracheal aspirates or bronchoalveolar lavages, were systematic twice weekly and Aspergillus detection was performed using culture and real-time quantitative PCR, but GM was not performed to avoid any risk of lab contamination.
T48 4499-4603 Sentence denotes Briefly, respiratory samples were first digested using v/v digestEUR (Eurobio) for 30 min under shaking.
T49 4604-4816 Sentence denotes Mycological culture were performed after centrifugation of fluidified samples by inoculation of 100–200 µL of pellet on Sabouraud-Chloramphenicol dextrose Agar plates, and incubated for 7 days at 30 °C and 37 °C.
T50 4817-5062 Sentence denotes Mold identification at genus or species complex level was performed microscopically, and confirmed at species level using MALDI-ToF mass spectrometry (MALDI Biotyper, Bruker France, Marne-la-Vallée, France), after fungal material extraction [9].
T51 5063-5226 Sentence denotes Spectrum profiles were then submitted to the Mass Spectrometry Identification (MSI) online database for definitive identification (https://msi.happy-dev.fr/ [10]).
T52 5227-5531 Sentence denotes For molecular detection, 200 µL of plain fluidified respiratory sample underwent immediate SARS-CoV-2 inactivation by heating at 56 °C overnight in ATL Lysis buffer (Qiagen, Saint-Quentin Fallavier, France), before DNA extraction using the EZ1 DSP virus kit (Qiagen) on a EZ1 Advanced XL device (Qiagen).
T53 5532-5652 Sentence denotes Molecular detection of A. fumigatus was done using a 28S rDNA Aspergillus-targeted PCR, as previously published [11,12].
T54 5653-6002 Sentence denotes In case of Aspergillus positive culture and/or positive PCR in respiratory samples, additional tests were performed on serum, i.e., detection of GM (Platelia GM Aspergillus, Biorad, Marnes-la-Coquette, France), Aspergillus PCR and detection of anti-Aspergillus antibody by ELISA (Platelia IgG Aspergillus, Biorad) and in-house immunoelectrophoresis.
T55 6003-6237 Sentence denotes Briefly, Aspergillus PCR was performed on 1 mL of serum extracted using MagNA Pure 24 Total NA Isolation kit (Roche diagnostics, Meylan, France) on a MagNA Pure 24 device (Roche diagnostics), according to manufacturer recommendations.
T56 6238-6274 Sentence denotes DNA was eluted in a volume of 50 µL.
T57 6276-6280 Sentence denotes 2.3.
T58 6281-6301 Sentence denotes Statistical Analysis
T59 6302-6450 Sentence denotes Continuous variables were expressed as median (interquartile range, IQR) and compared using the nonparametric Mann–Whitney U or Kruskal–Wallis test.
T60 6451-6529 Sentence denotes Dunn’s correction tests were performed if multiple comparisons were requested.
T61 6530-6583 Sentence denotes Qualitative data were compared using Chi-square test.
T62 6584-6647 Sentence denotes Tests were two-sided with significance set at α less than 0.05.
T63 6648-6798 Sentence denotes Concordance between categorical results from diagnostic tests was performed using the percent agreement coefficient and Cohen’s kappa coefficient (κ).
T64 6799-6861 Sentence denotes When comparing quantitative data, an ANOVA test was performed.
T65 6862-6948 Sentence denotes All data were analyzed with GraphPad Prism 8.4 (GraphPad Software, La Jolla, CA, USA).
T66 6950-6952 Sentence denotes 3.
T67 6953-6960 Sentence denotes Results
T68 6962-6966 Sentence denotes 3.1.
T69 6967-6993 Sentence denotes Patient Aspergillus Status
T70 6994-7087 Sentence denotes A cohort of 45 COVID-19 intubated and mechanically ventilated patients for ARDS was followed.
T71 7088-7151 Sentence denotes Patients benefited from a systematic screening for Aspergillus.
T72 7152-7274 Sentence denotes Overall, 211 respiratory samples (culture and PCR) and 32 serum samples (GM detection and Aspergillus PCR) were collected.
T73 7275-7368 Sentence denotes The mean number of respiratory samples until patient discharge from ICU was 3.8 (median = 3).
T74 7369-7621 Sentence denotes We categorized these 45 patients according to the AspICU algorithm and propose two alternative classification methods presented in Table 1: the AspICU algorithm associated to PCR results in respiratory and serum samples, and a modified AspICU proposal.
T75 7622-7722 Sentence denotes Thirty patients did not present any biological criteria of aspergillosis with any of the algorithms.
T76 7723-8038 Sentence denotes According to the AspICU classification incorporating PCR detection, 15 were classified as having putative aspergillosis because they met all criteria reported by Blot et al., i.e., compatible clinical signs, abnormal thoracic medical imaging on CT scan and positive screening for Aspergillus on respiratory samples.
T77 8039-8408 Sentence denotes However, in this particular context of COVID-19 with all ARDS patients presenting compatible clinical signs and abnormal chest CT imaging in all likelihood lacking specificity, we decided to use a modified AspICU algorithm taking into account blood markers; we classified eight patients as colonized and seven patients with a putative/probable IA (Table 1 and Table 2).
T78 8410-8414 Sentence denotes 3.2.
T79 8415-8467 Sentence denotes Demographic, Clinical and Biological Characteristics
T80 8468-8580 Sentence denotes Demographic, clinical and biological baseline characteristics at admission are detailed in Table 3 and Table S1.
T81 8581-8749 Sentence denotes Basic demographic characteristics were well-balanced between the three groups of patients (no aspergillosis, Aspergillus colonization, putative/probable aspergillosis).
T82 8750-8838 Sentence denotes Of note, we observed a high proportion (71.1%) of male patients in the study population.
T83 8839-8991 Sentence denotes Clinical and biological baseline data did not differ among the three groups, except C-reactive protein which was higher in the “no aspergillosis” group.
T84 8992-9211 Sentence denotes Regarding the severity scores at admission, no differences were observed either, among the groups of patients, but SAPS II and SOFA scores at day one tended to be higher in patients with putative invasive aspergillosis.
T85 9213-9217 Sentence denotes 3.3.
T86 9218-9249 Sentence denotes Concordance of Diagnostic Tools
T87 9250-9327 Sentence denotes Table 4 gathers the results of the techniques used for Aspergillus detection.
T88 9328-9470 Sentence denotes DNA detection by PCR showed the highest sensitivity, with a number of positive respiratory samples near twice higher, compared to the culture.
T89 9471-9705 Sentence denotes Only one sample grew in culture, whereas PCR was negative, but the species obtained in culture was A. tubingensis (Nigri complex species), which is theoretically not amplified when using the 28S-targeted PCR specific for A. fumigatus.
T90 9706-9965 Sentence denotes Interestingly, the correlation between cultural and molecular quantification showed a significant difference between the two techniques, with a mean Cq threshold of 32.6 ± 0.7 when cultures were negative, highlighting the higher sensitivity of PCR (Figure 1).
T91 9966-10103 Sentence denotes Overall, the concordance coefficient between PCR and culture on respiratory samples was 90.52% with a Cohen’s Kappa coefficient of 0.588.
T92 10104-10193 Sentence denotes Regarding blood samples, three patients had a positive detection of a systemic biomarker:
T93 10194-10253 Sentence denotes 3/3 had a positive PCR and 2/3 had a positive GM (Table 5).
T94 10254-10378 Sentence denotes All three patients had a simultaneous detection of Aspergillus in respiratory samples by culture (n = 2) and/or PCR (n = 3).
T95 10379-10516 Sentence denotes Overall, the concordance coefficient between PCR and culture on respiratory samples was 93.75% with a Cohen’s Kappa coefficient of 0.632.
T96 10518-10522 Sentence denotes 3.4.
T97 10523-10592 Sentence denotes Relevance of Various Tests and Categorization of Patients and Outcome
T98 10593-10693 Sentence denotes Table 6 presents the classification of the 45 patients using original or modified AspICU algorithms.
T99 10694-10811 Sentence denotes It appears that using an AspICU algorithm, nine patients were considered as having a putative IA (22% of the cohort).
T100 10812-11045 Sentence denotes When including PCR, the number of patients with putative IA would increase from 9 to 15 (33%) patients, while most patients might be only colonized because all presented compatible clinical signs and abnormal chest CT scan (Table 5).
T101 11046-11212 Sentence denotes Regarding Aspergillus detection, eight patients had a single detection of fungi using culture and/or PCR in respiratory samples and thus were classified as colonized.
T102 11213-11375 Sentence denotes One of these patients had a concomitant GM detection in serum (index = 0.551), was not treated and is still alive, thus was considered as a false positive result.
T103 11376-11514 Sentence denotes Finally, seven (16%) patients presented a heavy burden of Aspergillus in the respiratory tract with repeated positive cultures and/or PCR.
T104 11515-11658 Sentence denotes In order to rule out a chronic colonization before the episode, an anti-Aspergillus antibody testing was performed and showed negative results.
T105 11659-11878 Sentence denotes These patients were classified as putative IA, and three of them could even be considered as probable IA because of a positive biomarker of angioinvasion (serum PCR and/or GM) in agreement with EORTC/MSG classification.
T106 11879-12003 Sentence denotes Interestingly, following these classification criteria, CT scan abnormalities showed a gradation according to patient group.
T107 12004-12269 Sentence denotes Diffuse reticular or alveolar opacities were observed in patients classified as probable IA (Figure 2), nodules in half of putative IA, and in colonized patients, only non-specific and hard to interpret signs in the context of COVID-19 infection could be described.
T108 12270-12537 Sentence denotes In addition, putative/probable aspergillosis patients appeared more severely ill than patients without aspergillosis, since SOFA score at day seven was significantly higher in this group (p = 0.01) with a continuum between no infection, colonization and IA (Table 5).
T109 12538-12749 Sentence denotes Similarly, the mean ICU length of stay increased significantly from 12 days in patients without aspergillosis to 23 days in colonized patients, and 27 days in putative/probable invasive aspergillosis (p = 0.02).
T110 12750-12846 Sentence denotes All patients with a putative/probable IA were treated either with voriconazole or isavuconazole.
T111 12847-12904 Sentence denotes Only one colonized patient was treated with voriconazole.
T112 12905-13119 Sentence denotes Six patients died; there was a trend towards higher mortality in the group of putative/probable IA compared to uninfected patients, although not significant (2/7; 28.6%) versus 4/30 (13.3%), respectively (Table 7).
T113 13121-13123 Sentence denotes 4.
T114 13124-13134 Sentence denotes Discussion
T115 13135-13358 Sentence denotes In France, the global burden of severe fungal infection is estimated at approximately 1,000,000 (1.47%) cases each year [13] and IFD account for a higher risk of mortality in patients with co-morbidities from 9 to 40% [14].
T116 13359-13532 Sentence denotes During the COVID-19 pandemic, warning messages considering similarities between Sars-CoV-2 and influenza infections stressed the importance of vigilance towards IFD [15,16].
T117 13533-13626 Sentence denotes Local experiences are now published and show high numbers of putative IA [17,18,19,20,21,22].
T118 13627-13792 Sentence denotes The diagnosis of IA still remains challenging because of a wide diversity of underlying conditions and growing number of criteria, particularly biological tools [6].
T119 13793-14086 Sentence denotes In deeply immunosuppressed patients, such as neutropenic patients, patients under antineoplastic and prolonged corticosteroid therapy or solid organ transplantation, criteria for classification of IFD and notably IA have recently been revised incorporating Aspergillus molecular detection [2].
T120 14087-14256 Sentence denotes In ICU, the AspICU algorithm published by Blot et al., [3] is a robust and helpful tool for aspergillosis classification but needs to be more evaluated and even updated.
T121 14257-14510 Sentence denotes In order to address limitations of the various classification definitions for ICU patients, the ongoing FUNgal infections Definitions in ICU patients (FUNDICU) project aims to develop a standard set of definitions for IFD in critically ill patients [5].
T122 14511-14631 Sentence denotes The breaking news of SARS-CoV-2 co-infection urges the need for a critical analysis of the criteria of AspICU algorithm.
T123 14632-15107 Sentence denotes Indeed, COVID-19 patients, particularly ARDS patients with mechanical ventilation, present with compatible clinical signs as depicted by the algorithm (refractory fever, pleuritic chest pain and rub, dyspnea, hemoptysis and worsening respiratory insufficiency, see [3] for full description) and CT-scan signs are hard to interpret because of COVID-19 CT-scan presentation, leading to absence or very poor discrimination between Aspergillus colonization and infection [19,23].
T124 15108-15316 Sentence denotes As a result, IA during COVID-19 has been reported with a possible overestimated high prevalence (until 30%), as favorable outcomes have been described in patients who did not receive any antifungal treatment.
T125 15317-15668 Sentence denotes In order to have a well-balanced patient management, limiting unnecessary and costly antifungal treatments while not neglecting the life-threatening feature of IA, we included A. fumigatus PCR as a monitoring tool for fungal detection in both respiratory and blood samples in addition to classical culture and GM approaches but with some restrictions.
T126 15669-15749 Sentence denotes As expected, PCR allowed detecting Aspergillus in much more respiratory samples.
T127 15750-15909 Sentence denotes We previously showed that PCR improved the detection of Aspergillus in BAL, with a particular added value in ICU patients compared to hematology patients [11].
T128 15910-16061 Sentence denotes Furthermore, PCR using in-house but also marketed kits is also capable of identifying specific gene mutations associated with azole resistance [11,24].
T129 16062-16191 Sentence denotes Besides, the sensitivity of GM detection in blood is less sensitive in ICU than for patients with hematological malignancies [5].
T130 16192-16332 Sentence denotes Here, the higher sensitivity of Aspergillus detection also incites us to adopt modified criteria for case definition to gain in specificity.
T131 16333-16794 Sentence denotes Two major changes were introduced to modify the granularity of the classification: (i) the first one is to combine Aspergillus detection in respiratory samples and anti-Aspergillus antibody testing, to distinguish chronic colonization (positive serology) from acute massive colonization (negative serology) and (ii) the second is to introduce of obvious biomarkers of angioinvasion (serum GM and blood PCR), similar to those of the EORTC/MSG classification [2].
T132 16795-17039 Sentence denotes Of note, the combination of positive culture, positive anti-Aspergillus antibody testing and positive GM in the context of chronic respiratory diseases characterized a transition step from chronic pulmonary aspergillosis to probable IA [25,26].
T133 17040-17361 Sentence denotes Using this refined classification, we were able to categorize our patients in five classes: no infection, colonization, putative IA, probable IA and proven IA (no case of proven IA in the cohort), with a better relevance than the initial AspICU classification, and better specificity than the AspICU + PCR classification.
T134 17362-17533 Sentence denotes The decision of antifungal treatment onset was taken according to this modified AspICU classification and the outcome observed gives confidence in this patient management.
T135 17534-17724 Sentence denotes Of course, the limitation of this work is the relatively small number of patients and should be evaluated on larger cohorts in order to correctly analyze the performance of this alternative.
T136 17725-17896 Sentence denotes A remaining question is also to determine the place of the serum biomarker (1,3)-β-d-glucan in ICU patients, a question that has recently been raised by Honoré et al. [27]
T137 17897-18093 Sentence denotes In conclusion, molecular techniques are now key tools for monitoring IFD, particularly IA as recently updated in the EORTC/MSG definitions, but also Pneumocystis jirovecii or mucorales infections.
T138 18094-18200 Sentence denotes Here, we suggest some adaptations of the AspICU clinical algorithm to gain in sensitivity and specificity.
T139 18201-18275 Sentence denotes Large multicentric data are needed to confirm this proof of concept study.

LitCovid-PubTator

Id Subject Object Predicate Lexical cue tao:has_database_id
50 454-462 Species denotes patients Tax:9606
51 541-549 Species denotes patients Tax:9606
52 682-690 Species denotes patients Tax:9606
53 795-803 Species denotes patients Tax:9606
54 922-930 Species denotes patients Tax:9606
55 335-346 Species denotes Aspergillus Tax:746128
56 59-83 Disease denotes invasive fungal diseases MESH:D000072742
57 529-540 Disease denotes neutropenic MESH:D009503
58 647-669 Disease denotes invasive aspergillosis MESH:D055744
59 913-921 Disease denotes COVID-19 MESH:C000657245
82 1085-1093 Species denotes patients Tax:9606
83 1520-1528 Species denotes patients Tax:9606
84 2459-2467 Species denotes patients Tax:9606
85 1631-1642 Species denotes Aspergillus Tax:746128
86 2399-2410 Species denotes Aspergillus Tax:746128
87 1829-1842 Chemical denotes galactomannan MESH:C012990
88 1844-1846 Chemical denotes GM MESH:C012990
89 2197-2210 Chemical denotes galactomannan MESH:C012990
90 2212-2214 Chemical denotes GM MESH:C012990
91 2370-2372 Chemical denotes GM MESH:C012990
92 2379-2389 Chemical denotes β-d-glucan
93 2391-2394 Chemical denotes BDG MESH:C480180
94 1075-1083 Disease denotes COVID-19 MESH:C000657245
95 1108-1143 Disease denotes acute respiratory distress syndrome MESH:D012128
96 1145-1149 Disease denotes ARDS MESH:D012128
97 1483-1496 Disease denotes co-infections MESH:D060085
98 1500-1519 Disease denotes SARS-CoV-2-infected MESH:C000657245
99 1763-1771 Disease denotes COVID-19 MESH:C000657245
100 1783-1806 Disease denotes pulmonary aspergillosis MESH:D055732
101 2041-2060 Disease denotes SARS-CoV-2-infected MESH:C000657245
102 2129-2144 Disease denotes viral infection MESH:D001102
103 2447-2458 Disease denotes neutropenic MESH:D009503
111 2815-2823 Species denotes patients Tax:9606
112 2891-2899 Species denotes patients Tax:9606
113 2648-2659 Species denotes Aspergillus Tax:746128
114 2777-2788 Species denotes Aspergillus Tax:746128
115 2731-2733 Chemical denotes GM MESH:C012990
116 2860-2878 Disease denotes invasive infection MESH:D007239
117 2882-2890 Disease denotes COVID-19 MESH:C000657245
121 3060-3068 Species denotes patients Tax:9606
122 3212-3223 Species denotes Aspergillus Tax:746128
123 3088-3096 Disease denotes COVID-19 MESH:C000657245
125 3330-3340 Species denotes SARS-CoV-2 Tax:2697049
134 3536-3543 Species denotes patient Tax:9606
135 3586-3594 Disease denotes diabetes MESH:D003920
136 3596-3608 Disease denotes hypertension MESH:D006973
137 3610-3632 Disease denotes cardiovascular disease MESH:D002318
138 3634-3651 Disease denotes pulmonary disease MESH:D008171
139 3657-3671 Disease denotes kidney disease MESH:D007674
140 3820-3825 Disease denotes death MESH:D003643
141 4052-4080 Disease denotes Sepsis-Related Organ Failure MESH:D009102
143 4205-4216 Species denotes Aspergillus Tax:746128
146 4352-4363 Species denotes Aspergillus Tax:746128
147 4438-4440 Chemical denotes GM MESH:C012990
149 4724-4763 Chemical denotes Sabouraud-Chloramphenicol dextrose Agar
154 5318-5328 Species denotes SARS-CoV-2 Tax:2697049
155 5555-5567 Species denotes A. fumigatus Tax:746128
156 5594-5605 Species denotes Aspergillus Tax:746128
157 5375-5384 Disease denotes ATL Lysis MESH:D015275
165 5664-5675 Species denotes Aspergillus Tax:746128
166 5864-5875 Species denotes Aspergillus Tax:746128
167 5902-5913 Species denotes Aspergillus Tax:746128
168 6012-6023 Species denotes Aspergillus Tax:746128
169 5798-5800 Chemical denotes GM MESH:C012990
170 5802-5825 Disease denotes Platelia GM Aspergillus MESH:C562602
171 5933-5957 Disease denotes Platelia IgG Aspergillus MESH:D017099
174 6967-6974 Species denotes Patient Tax:9606
175 6975-6986 Species denotes Aspergillus Tax:746128
183 7056-7064 Species denotes patients Tax:9606
184 7088-7096 Species denotes Patients Tax:9606
185 7320-7327 Species denotes patient Tax:9606
186 7139-7150 Species denotes Aspergillus Tax:746128
187 7242-7253 Species denotes Aspergillus Tax:746128
188 7009-7017 Disease denotes COVID-19 MESH:C000657245
189 7069-7073 Disease denotes ARDS MESH:D012128
200 7393-7401 Species denotes patients Tax:9606
201 7629-7637 Species denotes patients Tax:9606
202 8101-8109 Species denotes patients Tax:9606
203 8317-8325 Species denotes patients Tax:9606
204 8349-8357 Species denotes patients Tax:9606
205 8003-8014 Species denotes Aspergillus Tax:746128
206 7681-7694 Disease denotes aspergillosis MESH:D001228
207 7829-7842 Disease denotes aspergillosis MESH:D001228
208 8078-8086 Disease denotes COVID-19 MESH:C000657245
209 8096-8100 Disease denotes ARDS MESH:D012128
220 8923-8941 Gene denotes C-reactive protein Gene:1401
221 8662-8670 Species denotes patients Tax:9606
222 8805-8813 Species denotes patients Tax:9606
223 9093-9101 Species denotes patients Tax:9606
224 9165-9173 Species denotes patients Tax:9606
225 8690-8701 Species denotes Aspergillus Tax:746128
226 8675-8688 Disease denotes aspergillosis MESH:D001228
227 8734-8747 Disease denotes aspergillosis MESH:D001228
228 8970-8983 Disease denotes aspergillosis MESH:D001228
229 9188-9210 Disease denotes invasive aspergillosis MESH:D055744
233 9570-9584 Species denotes A. tubingensis Tax:5068
234 9692-9704 Species denotes A. fumigatus Tax:746128
235 9305-9316 Species denotes Aspergillus Tax:746128
240 10135-10143 Species denotes patients Tax:9606
241 10264-10272 Species denotes patients Tax:9606
242 10305-10316 Species denotes Aspergillus Tax:746128
243 10240-10242 Chemical denotes GM MESH:C012990
245 10572-10580 Species denotes Patients Tax:9606
259 10639-10647 Species denotes patients Tax:9606
260 10742-10750 Species denotes patients Tax:9606
261 10846-10854 Species denotes patients Tax:9606
262 10906-10914 Species denotes patients Tax:9606
263 10927-10935 Species denotes patients Tax:9606
264 11085-11093 Species denotes patients Tax:9606
265 11226-11234 Species denotes patients Tax:9606
266 11397-11405 Species denotes patients Tax:9606
267 11665-11673 Species denotes patients Tax:9606
268 11056-11067 Species denotes Aspergillus Tax:746128
269 11434-11445 Species denotes Aspergillus Tax:746128
270 11587-11598 Species denotes Aspergillus Tax:746128
271 11253-11255 Chemical denotes GM MESH:C012990
277 11989-11996 Species denotes patient Tax:9606
278 12061-12069 Species denotes patients Tax:9606
279 12157-12165 Species denotes patients Tax:9606
280 12231-12239 Disease denotes COVID-19 MESH:C000657245
281 12240-12249 Disease denotes infection MESH:D007239
300 12315-12323 Species denotes patients Tax:9606
301 12356-12364 Species denotes patients Tax:9606
302 12617-12625 Species denotes patients Tax:9606
303 12672-12680 Species denotes patients Tax:9606
304 12754-12762 Species denotes patients Tax:9606
305 12866-12873 Species denotes patient Tax:9606
306 12909-12917 Species denotes patients Tax:9606
307 13027-13035 Species denotes patients Tax:9606
308 12816-12828 Chemical denotes voriconazole MESH:D065819
309 12832-12845 Chemical denotes isavuconazole MESH:C508735
310 12891-12903 Chemical denotes voriconazole MESH:D065819
311 12301-12314 Disease denotes aspergillosis MESH:D001228
312 12373-12386 Disease denotes aspergillosis MESH:D001228
313 12496-12505 Disease denotes infection MESH:D007239
314 12634-12647 Disease denotes aspergillosis MESH:D001228
315 12715-12737 Disease denotes invasive aspergillosis MESH:D055744
316 12918-12922 Disease denotes died MESH:D003643
317 12957-12966 Disease denotes mortality MESH:D003643
324 13310-13318 Species denotes patients Tax:9606
325 13439-13449 Species denotes Sars-CoV-2 Tax:2697049
326 13174-13190 Disease denotes fungal infection MESH:D009181
327 13297-13306 Disease denotes mortality MESH:D003643
328 13370-13378 Disease denotes COVID-19 MESH:C000657245
329 13464-13474 Disease denotes infections MESH:D007239
341 13820-13828 Species denotes patients Tax:9606
342 13850-13858 Species denotes patients Tax:9606
343 14339-14347 Species denotes patients Tax:9606
344 14398-14406 Species denotes patients Tax:9606
345 14497-14505 Species denotes patients Tax:9606
346 14050-14061 Species denotes Aspergillus Tax:746128
347 13860-13868 Species denotes patients Tax:9606
348 13838-13849 Disease denotes neutropenic MESH:D009503
349 14179-14192 Disease denotes aspergillosis MESH:D001228
350 14361-14378 Disease denotes FUNgal infections MESH:D009181
351 14482-14496 Disease denotes critically ill MESH:D016638
368 14532-14542 Species denotes SARS-CoV-2 Tax:2697049
369 14649-14657 Species denotes patients Tax:9606
370 14677-14685 Species denotes patients Tax:9606
371 15262-15270 Species denotes patients Tax:9606
372 15060-15071 Species denotes Aspergillus Tax:746128
373 14546-14555 Disease denotes infection MESH:D007239
374 14640-14648 Disease denotes COVID-19 MESH:C000657245
375 14672-14676 Disease denotes ARDS MESH:D012128
376 14795-14800 Disease denotes fever MESH:D005334
377 14802-14822 Disease denotes pleuritic chest pain MESH:D002637
378 14832-14839 Disease denotes dyspnea MESH:D004417
379 14841-14851 Disease denotes hemoptysis MESH:D006469
380 14866-14891 Disease denotes respiratory insufficiency MESH:D012131
381 14974-14982 Disease denotes COVID-19 MESH:C000657245
382 15089-15098 Disease denotes infection MESH:D007239
383 15131-15139 Disease denotes COVID-19 MESH:C000657245
403 15350-15357 Species denotes patient Tax:9606
404 15493-15505 Species denotes A. fumigatus Tax:746128
405 15863-15871 Species denotes patients Tax:9606
406 15895-15903 Species denotes patients Tax:9606
407 16146-16154 Species denotes patients Tax:9606
408 15704-15715 Species denotes Aspergillus Tax:746128
409 15806-15817 Species denotes Aspergillus Tax:746128
410 16224-16235 Species denotes Aspergillus Tax:746128
411 16448-16459 Species denotes Aspergillus Tax:746128
412 16502-16513 Species denotes Aspergillus Tax:746128
413 16855-16866 Species denotes Aspergillus Tax:746128
414 15627-15629 Chemical denotes GM MESH:C012990
415 16036-16041 Chemical denotes azole MESH:D001393
416 16090-16092 Chemical denotes GM MESH:C012990
417 16722-16724 Chemical denotes GM MESH:C012990
418 16897-16899 Chemical denotes GM MESH:C012990
419 16160-16186 Disease denotes hematological malignancies MESH:D019337
420 16926-16946 Disease denotes respiratory diseases MESH:D012140
421 16992-17015 Disease denotes pulmonary aspergillosis MESH:D055732
428 17106-17114 Species denotes patients Tax:9606
429 17514-17521 Species denotes patient Tax:9606
430 17607-17615 Species denotes patients Tax:9606
431 17824-17832 Species denotes patients Tax:9606
432 17800-17816 Chemical denotes (1,3)-β-d-glucan MESH:C480180
433 17135-17144 Disease denotes infection MESH:D007239
436 18046-18068 Species denotes Pneumocystis jirovecii Tax:42068
437 18082-18092 Disease denotes infections MESH:D007239

2_test

Id Subject Object Predicate Lexical cue
32664423-22517788-60101693 714-715 22517788 denotes 3
32664423-28954783-60101694 982-983 28954783 denotes 4
32664423-8254858-60101695 4193-4194 8254858 denotes 7
32664423-31775846-60101696 4195-4196 31775846 denotes 8
32664423-28637907-60101697 5221-5223 28637907 denotes 10
32664423-29248586-60101698 5645-5647 29248586 denotes 11
32664423-14766869-60101699 5648-5650 14766869 denotes 12
32664423-27887809-60101700 13256-13258 27887809 denotes 13
32664423-24960557-60101701 13354-13356 24960557 denotes 14
32664423-32835328-60101702 13525-13527 32835328 denotes 15
32664423-32307254-60101703 13528-13530 32307254 denotes 16
32664423-32339350-60101704 13613-13615 32339350 denotes 19
32664423-32396381-60101705 13619-13621 32396381 denotes 21
32664423-32224310-60101706 13622-13624 32224310 denotes 22
32664423-22517788-60101707 14143-14144 22517788 denotes 3
32664423-22517788-60101708 14898-14899 22517788 denotes 3
32664423-32339350-60101709 15100-15102 32339350 denotes 19
32664423-32488446-60101710 15103-15105 32488446 denotes 23
32664423-29248586-60101711 15905-15907 29248586 denotes 11
32664423-29248586-60101712 16054-16056 29248586 denotes 11
32664423-25903571-60101713 16057-16059 25903571 denotes 24
32664423-17906086-60101714 17032-17034 17906086 denotes 25
32664423-26699723-60101715 17035-17037 26699723 denotes 26
32664423-32503673-60101716 17893-17895 32503673 denotes 27