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Aspergillosis

Yoonho Park, M.D. Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Aspergillosis refers to illness due to allergy, airway/lung invasion, cutaneous infection, or extrapulmonary dissemination caused by a mold, Aspergillus. Most commonly, it is caused ...

DIAGNOSIS

HISTORY

  • Symptoms depend on the site of infection and may include fever, dyspnea, cough, sinus congestion/pain.

  • Symptoms of ABPA present as recurrent asthma exacerbations. In severe cases, feve...

TREATMENT

GENERAL MEASURES

  • ABPA may improve with allergen avoidance and optimal asthma control.

  • Depending on the clinical picture, treatment of aspergilloma may include observation, oral antifungal ther...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • During therapy, Aspergillus IgG and inflammatory markers should be repeated every 3 months and chest radiographs should be monitored every 6 to 12 months. CT scan...

CODES

ICD10

  • B44.9 Aspergillosis, unspecified

  • B44.1 Other pulmonary aspergillosis

  • B44.81 Allergic bronchopulmonary aspergillosis

  • B44.89 Other forms of aspergillosis

  • B44.0 Invasive pulmonary aspergillosis

  • B44...

CLINICAL PEARLS

  • Although Aspergillus spp. are ubiquitous, most immunocompetent people do not acquire disease.

  • Diagnosis of aspergillosis can be challenging and is based on history, physical exam, and a...

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