chronic cavitary pulmonary aspergillosis

  • aspergillosis invades space damaged by something else
  • IgG, not IgE must be used for diagnosis

  • previous space with now with pleural thickening

  • must be there for more than 3 months
  • itraconazole and reduce immunosuppression
  • monitor treatment for 6 months Other forms of Aspergillus infection occur in different clinical settings. Chronic necrotizing aspergillosis is a semi-invasive indolent form of infection that does not disseminate and occurs in patients who have lesser degrees of immunosuppression (such as those who take chronic glucocorticoids or those who have intrinsic immune defects) or chronic pulmonary disease. Treatment is similar to that for invasive pulmonary aspergillosis.