Aspergillus-Related Lung Disease

Aspergillus is a ubiquitous dimorphic fungus that causes a variety of human diseases ranging in severity from trivial to life-threatening, depending on the host response. An intact host defence is important to prevent disease, but individuals with pre-existing structural lung disease, atopy, occupat...

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Main Authors: Alia Al-Alawi, C Frank Ryan, Julia D Flint, Nestor L Müller
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2005/759070
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author Alia Al-Alawi
C Frank Ryan
Julia D Flint
Nestor L Müller
author_facet Alia Al-Alawi
C Frank Ryan
Julia D Flint
Nestor L Müller
author_sort Alia Al-Alawi
collection DOAJ
description Aspergillus is a ubiquitous dimorphic fungus that causes a variety of human diseases ranging in severity from trivial to life-threatening, depending on the host response. An intact host defence is important to prevent disease, but individuals with pre-existing structural lung disease, atopy, occupational exposure or impaired immunity are susceptible. Three distinctive patterns of aspergillus-related lung disease are recognized: saprophytic infestation of airways, cavities and necrotic tissue; allergic disease including extrinsic allergic alveolitis, asthma, allergic bronchopulmonary aspergillosis, bronchocentric granulomatosis and chronic eosinophilic pneumonia; and airway and tissue invasive disease -- pseudomembranous tracheobronchitis, acute bronchopneumonia, angioinvasive aspergillosis, chronic necrotizing aspergillosis and invasive pleural disease. A broad knowledge of these clinical presentations and a high index of suspicion are required to ensure timely diagnosis and treatment of the potentially lethal manifestations of aspergillus-related pulmonary disease. In the present report, the clinical, radiographic and pathological aspects of the various aspergillus-related lung diseases are briefly reviewed.
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spelling doaj-art-23a552080f6849958e643d12d3bdb4452025-02-03T01:28:12ZengWileyCanadian Respiratory Journal1198-22412005-01-0112737738710.1155/2005/759070Aspergillus-Related Lung DiseaseAlia Al-Alawi0C Frank Ryan1Julia D Flint2Nestor L Müller3Division of Respiratory Medicine, Department of Medicine, Amiri Hospital, Safat, KuwaitDivision of Respiratory Medicine, Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Pathology, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Radiology, University of British Columbia, Vancouver, British Columbia, CanadaAspergillus is a ubiquitous dimorphic fungus that causes a variety of human diseases ranging in severity from trivial to life-threatening, depending on the host response. An intact host defence is important to prevent disease, but individuals with pre-existing structural lung disease, atopy, occupational exposure or impaired immunity are susceptible. Three distinctive patterns of aspergillus-related lung disease are recognized: saprophytic infestation of airways, cavities and necrotic tissue; allergic disease including extrinsic allergic alveolitis, asthma, allergic bronchopulmonary aspergillosis, bronchocentric granulomatosis and chronic eosinophilic pneumonia; and airway and tissue invasive disease -- pseudomembranous tracheobronchitis, acute bronchopneumonia, angioinvasive aspergillosis, chronic necrotizing aspergillosis and invasive pleural disease. A broad knowledge of these clinical presentations and a high index of suspicion are required to ensure timely diagnosis and treatment of the potentially lethal manifestations of aspergillus-related pulmonary disease. In the present report, the clinical, radiographic and pathological aspects of the various aspergillus-related lung diseases are briefly reviewed.http://dx.doi.org/10.1155/2005/759070
spellingShingle Alia Al-Alawi
C Frank Ryan
Julia D Flint
Nestor L Müller
Aspergillus-Related Lung Disease
Canadian Respiratory Journal
title Aspergillus-Related Lung Disease
title_full Aspergillus-Related Lung Disease
title_fullStr Aspergillus-Related Lung Disease
title_full_unstemmed Aspergillus-Related Lung Disease
title_short Aspergillus-Related Lung Disease
title_sort aspergillus related lung disease
url http://dx.doi.org/10.1155/2005/759070
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