Aspergillus

Question 1

How is ABPA managed?

Answer 1

1st: Oral steriods - due to inflammatory reaction
1b: Azole: Itraconazole
1c. Environment; no gardening - soil +compost, treat damp/water problems in house.

Question 2

what is the tranmission of aspelligus infections?

Answer 2

found in soil

infefction through inhaling spores

Question 3

mx of invasive aspergillosis?

Answer 3

1. Antifungal
   - Voriconazole (or amphotericin B)

1b. Reverse immunosuppression
1c. Surgical resection of focus considered.

Question 4

ivx of aspergillos infection cont

What are the findings on HR CT of sinuses in aspergillus infections?

Answer 4

Invasive aspergillosis: suggestive of aggressive infection.

Aspergilloma: paranasal sinuses may reveal space-occupying lesions without bone erosion.