Aspergillosis history and symptoms: Difference between revisions
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:* Patients medications review for any immune-suppressive drugs such as chemotherapy and long term corticosteroid use | :* Patients medications review for any immune-suppressive drugs such as chemotherapy and long term corticosteroid use | ||
==Symptoms== | ==Symptoms== | ||
* The specific clinical presentation of aspergillosis is determined by the exact clinical subtype of the disease such as: | |||
The | :* '''Invasive pulmonary aspergillosis''' may present with: | ||
::* Spiking [fever]] (refractory to [[antibiotic]] therapy) | |||
: | ::* [[Pleuritic]] [[chest pain]] | ||
::* [[Cough]] | |||
:* [[ | ::* [[Shortness of breath]] | ||
:* [[ | ::* [[Haemoptysis]] | ||
:* [[ | ::* [[Headache]] | ||
::* [[Seizures]] | |||
: | :* '''Chronic necrotizing aspergillosis''' may present with: | ||
::* Chronic [[fever]] (1-6 months) | |||
:* | ::* [[Malaise]] | ||
:* [[ | ::* [[Fatigue]] | ||
:* | ::* [[Weight loss]] | ||
:* [[ | ::* Chronic productive [[cough]] | ||
:* [[Aspergilloma]] | ::* [[Haemoptysis]] | ||
:* '''Aspergilloma''' may present with: | |||
:* '''Allergic bronchopulmonary aspergillosis'' ('''ABPA''') may present with: | |||
::* [[Wheezing]] | |||
::* [[Cough]] | |||
::* [[Fever]] (in rare cases) | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 17:00, 8 February 2016
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Aspergillosis Microchapters |
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Aspergillosis history and symptoms On the Web |
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American Roentgen Ray Society Images of Aspergillosis history and symptoms |
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Risk calculators and risk factors for Aspergillosis history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]
Overview
A fungus ball in the lungs may cause no symptoms and may be discovered only with a chest x-ray. Or it may cause repeated coughing up of blood and—rarely—severe, even fatal, bleeding. A rapidly invasive Aspergillus infection in the lungs often causes cough, fever, chest pain, and difficulty breathing.
Aspergillosis affecting the deeper tissues makes a person very ill. Symptoms include fever, chills, shock, delirium, and blood clots. The person may develop kidney failure, liver failure (causing jaundice), and breathing difficulties. Death can occur quickly.
Aspergillosis of the ear canal causes itching and occasionally pain. Fluid draining overnight from the ear may leave a stain on the pillow. Aspergillosis of the sinuses causes a feeling of congestion and sometimes pain or discharge.
History
- When evaluating a patient for aspergillosis, you should take a detailed history of the presenting symptom (duration, onset, progression), other associated symptoms, and a thorough occupational history. Other specific areas of focus when obtaining the history are outlined below:[1][2]
- Review past medical history for any previous immunodeficient states such as AIDS, hematological cancers, and cystic fibrosis
- Review past medical history for any previous cavitary pulmonary disease such as tuberculosis or sarcoidosis, which may predispose to aspergilloma formation
- Review surgical history for any organ transplantation procedures
- Patients medications review for any immune-suppressive drugs such as chemotherapy and long term corticosteroid use
Symptoms
- The specific clinical presentation of aspergillosis is determined by the exact clinical subtype of the disease such as:
- Invasive pulmonary aspergillosis may present with:
- Spiking [fever]] (refractory to antibiotic therapy)
- Pleuritic chest pain
- Cough
- Shortness of breath
- Haemoptysis
- Headache
- Seizures
- Chronic necrotizing aspergillosis may present with:
- Chronic fever (1-6 months)
- Malaise
- Fatigue
- Weight loss
- Chronic productive cough
- Haemoptysis
- Aspergilloma may present with:
- Allergic bronchopulmonary aspergillosis ('ABPA) may present with:
References
- ↑ Aspergillosis. MAYO CLINIC (2015) http://www.mayoclinic.org/diseases-conditions/aspergillosis/basics/risk-factors/con-20030330 Accessed on February, 8 2016
- ↑ Kousha M, Tadi R, Soubani AO (2011). "Pulmonary aspergillosis: a clinical review". Eur Respir Rev. 20 (121): 156–74. doi:10.1183/09059180.00001011. PMID 21881144.