Invasive d...
Pulmonary and invasive disease typically presents with a high fever, dry cough, and chest pain. Shortness of breath and hemoptysis can occur.
Sinusitis causes facial pain or swelling, ...
Pediatric patients with prolonged neutropenia at risk for invasive aspergillosis should receive prophylaxis with voriconazole or micafungin. Posaconazole, which is approved f...
Pulmonary aspergillosis should have a repeat chest CT scan 2 weeks into therapy to assess the response to treatment.
Other follow-up imaging shou...
Burgos A, Zaoutis TE, Dvorak CC, et al. Pediatric invasive aspergillosis: a multicenter retrospective analysis of 139 contemporary cases. Pediatrics. 2008; 121(5):e1286–e1294....
117.3 Aspergillosis
484.6 Pneumonia in aspergillosis
518.6 Allergic bronchopulmonary aspergillosis
380.15 Chronic mycotic otitis externa
495.9 Unspecified allergic alveolitis and pneumonitis
Q: Does Aspergillus grown a respiratory culture from a healthy child require treatment?
A: No. Aspergillus is common in the environment and colonization may occur. Healthy, asymptomatic children do...
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Aspergillus fungus ball. The lung contains a cavity filled with a fungus ball.
Allergic bronchopulmonary aspergillosis. A dilated bronchus is filled with a mucous plug, which has dense layers of eosinophilic infiltrates.
Allergic bronchopulmonary aspergillosis. A dilated bronchus is filled with a mucous plug, which has dense layers of eosinophilic infiltrat...
Invasive aspergillosis. A section of lung impregnated with silver shows branching fungal hyphae surrounding blood vessels and invading the adjacent parenchyma.
Invasive aspergillosis. A section of lung impregnated with silver shows branching fungal hyphae surrounding blood vessels and invading the...
<bold>Fig C 42-5. Allergic bronchopulmonary aspergillosis.</bold> This woman with a history of asthma shows impaction of dilated large airways, producing the "finger-in-glove" sign (large arrows). There is also impaction of dilated small airways, producing the "tree-in-bud" pattern (small arrows).<sup>63</sup>
<bold>Fig C 42-5. Allergic bronchopulmonary aspergillosis.</bold> This woman with a history of asthma shows impaction of dilat...