Uncommon. Pulmonary aspergillosis is an uncommon infection in the immuno competent population, but is much more prevalent in patients whose general or local (pulmonary) immunity is compromised (hiv +, patients receiving chemotherapy, multiple disease conditions including COPD etc.).
Fairly common. Pulm aspergillosis comes in multiple forms. Abpa is fairly common and is underdiagnosed.
Absolutely. It is classic for recurring bouts. You should speak with your pulmonologist or primary care provider to determine if this is flaring; and what treatment options exist if it is a recurrence.
Depends. The term pulmonary aspergillosis may refer to actual infection of the lung by aspergillus which usually occurs in patients with depressed immune system. The term can also be an "allergy" to aspergillus which is more common in patient with asthma and cystic fibrosis. A fungus ball of aspergillus is a complication of an old cavity in the lung growing a fungal ball.
Several kinds. People with underlying emphysema with bullae can get aspergillomas. People with asthma can be allergic aspergillosis. People with immune deficiencies can get invasive and potentially fatal aspergillosis.
Not necessarily kids. Allergic bronchopulmonary aspergillosis (abpa) is a hypersensitivity reaction to a. Fumigatus colonization of the tracheobronchial tree and occurs in conjunction with asthma and cystic fibrosis (cf). 0.25-0.8% of people with asthma and approximately 7% of patients with CF are estimated to have abpa (this includeds kids and adults).
ABPA. Unless they are very very young, have an immune deficiency, malignancy or are on long term immunosuppressive therapy, then the answer is a resounding "no".
Immune system. Aspergillosis is a disease that is not routinely seen in people with normally functioning immune system. A healthy immune system will fight aspergillus fungus to prevent its, orbit effect. So, to answer your question, you want to make sure your immune system is functioning well. Make sure you have adequate nutrition, avoid unhealthy rabbits - smoking, excessive alcohol, drugs etc.
Very low. It is hard to predict who is going to get it, but fortunately, it is very rare.
Yes. But if well treated, should not.
Yes. The treatment is effective, more so now than in the past, but the bug can persist especially if your immune system is not intact.
Coughing blood? Surgery is most indicated when someone has a cavity of fungus that erodes into the lung tissue and causes coughing up of blood. Sometimes we do surgery when the fungus infection is refractory to abx.
When all else fails. Surgery is considered when the condition does not respond to medical therapy, or when it starts to cause bleeding in the lungs. Or if it begins to cause constant infections in the lung tissue.
No...and Yes. Depends on the child and their immune system.....As well as what illnesses or genetic disorders they might be born with. If they are entirely normal, then no, they are not more susceptible.
No. Invasive pulmonary aspergillosis occurs primarily in severly immunocompromised patients such as leukemic patients on chemotherapy or transplant patients on immunosuppressive drugs. It can also occur in a chronic formin some patients with severe chronic obstructive pulmonary disease. Children are less susceptible because of their generally good health and good immunity.
Yes. Since aspergillosis is caused by a fungi, it is not normally affect pt with normal immmune system. Since you have compromised immune system, you are more likely to get this pulmonary aspergillosis.
That depends... Aspergillus infections are opportunistic. That is, they usually occur in persons with severely compromised bone marrow function (such as just after intense chemotherapy), or among those taking potent immunosuppressive drugs (after a transplant for example). Aspergillosis does occur more often in persons with "blood cancer" (leukemia for example) than solid tumors.
Huge. Allergic bronchopulmonary aspergillosis is a disorder where the pt wheezes when exposed. It s treated with bronchodilators and steroids and shows obstructive change on pfts. Invasive aspergillosis usually occurs in immunosuppressed pts and is a necrotizing lung infection needing anti fungal antibiotics, it carries a high mortality.
They are different. Allergic bronchopulmonary aspergillosis occurs in some people and behaves like cortisone-resistant bronchial asthma. Most sufferers would have a specific type of bronchiectasis (dead-ended bronchial tubes) one must have an allergic reaction to aspergillus. Invasive aspergillosis usually happens in people whose immune system has been greatly compromised and the prognosis is far less favorable.