aspergilloma is asymptomatic fungal ball

  • usually not causing problem unless there’s hemoptysis with sputum showing hyphal.
  • Serum IgG positive against aspergillus
  • if asymptomatic do not treat
  • azoles + surgery if hemoptysis Pulmonary aspergillomas (fungus balls consisting of hyphae, mucus, and cellular debris) may form in patients with pre-existing cavities, such as old tuberculosis cavities and in bullae of patients with COPD; the presence of significant hemoptysis is a potential complication. In the absence of associated symptoms or hemoptysis, pulmonary aspergillomas may not require therapy; however, in the setting of significant bleeding, surgical resection or embolization may be necessary. Antifungal therapy is typically not effective against pulmonary aspergillomas, and its role in aspergilloma treatment is unclear.