Pulmonary aspergillosis: diagnosis and treatment

Aspergillus species are the most frequent cause of fungal infections of the lungs with a broad spectrum of clinical presentations including invasive pulmonary aspergillosis (IPA) and chronic pulmonary aspergillosis (CPA). IPA affects immunocompromised populations, which are increasing in number and...

Full description

Bibliographic Details
Main Authors: Frederic Lamoth, Thierry Calandra
Format: Article
Language:English
Published: European Respiratory Society 2022-11-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/31/166/220114.full
_version_ 1797961085485056000
author Frederic Lamoth
Thierry Calandra
author_facet Frederic Lamoth
Thierry Calandra
author_sort Frederic Lamoth
collection DOAJ
description Aspergillus species are the most frequent cause of fungal infections of the lungs with a broad spectrum of clinical presentations including invasive pulmonary aspergillosis (IPA) and chronic pulmonary aspergillosis (CPA). IPA affects immunocompromised populations, which are increasing in number and diversity with the advent of novel anti-cancer therapies. Moreover, IPA has emerged as a complication of severe influenza and coronavirus disease 2019 in apparently immunocompetent hosts. CPA mainly affects patients with pre-existing lung lesions and is recognised increasingly frequently among patients with long-term survival following cure of tuberculosis or lung cancer. The diagnosis of pulmonary aspergillosis is complex as it relies on the presence of clinical, radiological and microbiological criteria, which differ according to the type of pulmonary aspergillosis (IPA or CPA) and the type of patient population. The management of pulmonary aspergillosis is complicated by the limited number of treatment options, drug interactions, adverse events and the emergence of antifungal resistance.
first_indexed 2024-04-11T00:53:51Z
format Article
id doaj.art-ea5d6ecf49524c80a42073f067ea9109
institution Directory Open Access Journal
issn 0905-9180
1600-0617
language English
last_indexed 2024-04-11T00:53:51Z
publishDate 2022-11-01
publisher European Respiratory Society
record_format Article
series European Respiratory Review
spelling doaj.art-ea5d6ecf49524c80a42073f067ea91092023-01-05T07:48:22ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172022-11-013116610.1183/16000617.0114-20220114-2022Pulmonary aspergillosis: diagnosis and treatmentFrederic Lamoth0Thierry Calandra1 Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland Aspergillus species are the most frequent cause of fungal infections of the lungs with a broad spectrum of clinical presentations including invasive pulmonary aspergillosis (IPA) and chronic pulmonary aspergillosis (CPA). IPA affects immunocompromised populations, which are increasing in number and diversity with the advent of novel anti-cancer therapies. Moreover, IPA has emerged as a complication of severe influenza and coronavirus disease 2019 in apparently immunocompetent hosts. CPA mainly affects patients with pre-existing lung lesions and is recognised increasingly frequently among patients with long-term survival following cure of tuberculosis or lung cancer. The diagnosis of pulmonary aspergillosis is complex as it relies on the presence of clinical, radiological and microbiological criteria, which differ according to the type of pulmonary aspergillosis (IPA or CPA) and the type of patient population. The management of pulmonary aspergillosis is complicated by the limited number of treatment options, drug interactions, adverse events and the emergence of antifungal resistance.http://err.ersjournals.com/content/31/166/220114.full
spellingShingle Frederic Lamoth
Thierry Calandra
Pulmonary aspergillosis: diagnosis and treatment
European Respiratory Review
title Pulmonary aspergillosis: diagnosis and treatment
title_full Pulmonary aspergillosis: diagnosis and treatment
title_fullStr Pulmonary aspergillosis: diagnosis and treatment
title_full_unstemmed Pulmonary aspergillosis: diagnosis and treatment
title_short Pulmonary aspergillosis: diagnosis and treatment
title_sort pulmonary aspergillosis diagnosis and treatment
url http://err.ersjournals.com/content/31/166/220114.full
work_keys_str_mv AT fredericlamoth pulmonaryaspergillosisdiagnosisandtreatment
AT thierrycalandra pulmonaryaspergillosisdiagnosisandtreatment