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Clinical spectrum of aspergillosis

By Dr. Sara Dong @swinndong 

#ID  #Infectious Diseases  #Infections
#Aspergillus #Aspergillosis #IA
Clinical spectrum of aspergillosis ... #Aspergillus #Aspergillosis ... #IA #CPA #ABPA
ABPA Working Group Criteria

#ABPA #allergic #bronchopulmonary #aspergillosis #diagnosis #Criteria
ABPA Working Group ... Criteria #ABPA ... bronchopulmonary #aspergillosis
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
bronchopulmonary aspergillosis ... (ABPA). ... #CXR #CTChest #ABPA ... #Allergic #Aspergillosis
Stages of ABPA
I - Acute Phase
II - Remission
III - Exacerbation
IV - Glucocorticoid-Dependent ABPA
V - End-Stage (fibrotic)
Stages of ABPA ... Glucocorticoid-Dependent ABPA ... End-Stage (fibrotic) ABPA ... #ABPA #Stages ... bronchopulmonary #aspergillosis
Allergic Bronchopulmonary Aspergillosis (ABPA)
WHAT IS IT?
Hypersensitivity response to Aspergillus fumigatus in the airways
 • Primarily affects
Bronchopulmonary Aspergillosis ... (ABPA) WHAT IS ... Bronchopulmonary #Aspergillosis ... #ABPA #pulmonary
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
bronchopulmonary aspergillosis ... (ABPA). ... ABPA is a hypersensitivity
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
- Aspergillus/ABPA ... bronchopulmonary aspergillosis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
kansasii, Invasive aspergillosis ... • 3 syndromes: ABPA ... Mycetoma, Invasive Aspergillosis
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
coccidioidomycosis), Allergic (ABPA ... , ABPM) Medications
IDSA Aspergillosis Treatment
 • Invasive pulmonary aspergillosis (IPA)
 • CNS aspergillosis
 • Cardiac Aspergillus infection
 •
IDSA Aspergillosis ... Invasive pulmonary aspergillosis ... (IPA) • CNS aspergillosis ... ID_fellows #Invasive #Aspergillosis