Aspergillus Flashcards

1
Q

How does transmission of Aspergillosis occur?

A

Transmission occurs through inhaling airborne Aspergillus spores.

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2
Q

Who is most at risk for Aspergillosis?

A

People with weakened immune systems or lung diseases are most at risk.

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3
Q

What factors influence the treatment of Aspergillosis?

A

Aspergillosis treatment depends on the type of infection.

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4
Q

What is the most common species of Aspergillus associated with infections?

A

Aspergillus fumigatus (A. fumigatus) and A. flavus.

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5
Q

What are common environments where Aspergillus species can be found?

A
  • Soil
  • Decomposing plant matter
  • Household dust
  • Building materials
  • Plants
  • Food
  • Water
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6
Q

What are risk factors for invasive aspergillosis?

A
  • Severe/prolonged granulocytopenia
  • Hematologic malignancies
  • Hematopoietic stem cell or solid organ transplant
  • High-dose corticosteroids or other immunosuppressive therapies
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7
Q

What underlying conditions are associated with allergic aspergillosis?

A
  • Asthma
  • Cystic fibrosis
  • Other underlying lung diseases
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8
Q

How does aspergillosis spread?

A

Transmission occurs through inhaling airborne spores.

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9
Q

What are some clinical features of aspergillosis in immunocompromised individuals?

A
  • Invasive pulmonary infection
  • Fever
  • Cough
  • Chest pain
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10
Q

What diagnostic tools are used to diagnose aspergillosis?

A
  • Microscopy
  • Histopathology
  • Culture
  • Galactomannan antigen test
  • Beta-d-glucan assay
  • Polymerase Chain Reaction (PCR)
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11
Q

What does the Galactomannan antigen test detect?

A

It detects a polysaccharide that makes up part of the cell wall of Aspergillus.

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12
Q

What is the typical treatment for allergic aspergillosis?

A

Treatment is usually itraconazole but can also be corticosteroids.

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13
Q

What treatment options are available for aspergilloma?

A

Treatment may be a combination of surgery and antifungal medications.

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14
Q

What should be done for patients with severe invasive aspergillosis?

A

They may need surgery, and immunosuppressive medications should be decreased or discontinued if possible.

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15
Q

What emerging issue is being observed with Aspergillus fumigatus in the U.S.?

A

A. fumigatus that is resistant to azole antifungal medications is emerging.

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16
Q

What should healthcare professionals do if resistant A. fumigatus is suspected?

A

Clinicians should consult their local health department.

17
Q

What network performs screening to monitor azole-resistant A. fumigatus?

A

Select regional labs in the AR Lab Network.