About two French cases of disseminated Cryptococcus neoformans infection associated with COVID-19

SARS-CoV-2 infection is an acute respiratory distress syndrome associated with immune dysfunction, causing coronavirus disease 2019 (COVID-19) disease. The use of immunosuppressive drugs in its treatment increases the risk of opportunistic infections. In particular, opportunistic fungal infections have been described in initially non-immunocompromised patients with severe COVID-19 disease. Among them, rare cases of cryptococcosis have been described. Here we present the first two French cases of non-HIV non-transplant patients who developed disseminated Cryptococcus neoformans fungal infection in the setting of severe COVID-19 disease. Blood cultures appear to be an interesting diagnostic tool for post-COVID-19 cryptococcosis, which is an often fatal complication.