Aspergilosis
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Clinical presentation
- Cough
- Fever
- Chest pain
- Difficulty breathing
- Hemoptysis ranging from mild to severe
- Wheezing may be noted on auscultation
- Mucous plugs upon coughing
- Tachypneic and is rapidly progressive worsening
- Hypoxemia
Investigations
- Chest X-ray and CT, pulmonary aspergillosis classically manifests as a halo sign and later an air crescent sign
- Sputum Culture
- Bronchoscopy (BAL)
Non-pharmacological Treatment
- Surgical treatment
- Bronchial artery embolization (for life threatening hemoptysis)
Pharmacological Treatment
D: itraconazole (PO) 100-200mg 24hourly 6-12weeks