• Diagn Interv Imaging · May 2015

    Review

    Pulmonary aspergillosis.

    • M L Chabi, A Goracci, N Roche, A Paugam, A Lupo, and M P Revel.
    • Service de radiologie polyvalente et oncologique, groupe hospitalier de la Pitié-Salpêtrière - Charles-Foix, AP-HP, 83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address: marie-laure.chabi@psl.aphp.fr.
    • Diagn Interv Imaging. 2015 May 1; 96 (5): 435-42.

    AbstractAspergillosis is a mycotic disease usually caused by Aspergillus fumigatus, a saprophytic and ubiquitous airborne fungus. Aspergillus-related lung diseases are traditionally classified into four different forms, whose occurrence depends on the immunologic status of the host and the existence of an underlying lung disease. Allergic broncho-pulmonary aspergillosis (ABPA) affects patients with asthma or cystic fibrosis. Saprophytic infection (aspergilloma) occurs in patients with abnormal airways (chronic obstructive pulmonary disease, bronchiectasis, cystic fibrosis) or chronic lung cavities. Chronic necrotizing aspergillosis (semi-invasive form) is described in patients with chronic lung pathology or mild immunodeficiency. Invasive aspergillosis (angio-invasive or broncho-invasive forms) occurs in severely immuno-compromised patients. Knowledge of the various radiological patterns for each form, as well as the corresponding associated immune disorders and/or underlying lung diseases, helps early recognition and accurate diagnosis.Copyright © 2015 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

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