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aspergilloma; fungus ball
see Aspergillosis
Pathology:
- occurs in pre-existing pulmonary cavities or cysts or in areas of devitalized lung
Clinical manifestations:
- fever, cough, dyspnea, chest pain, hemoptysis, weight loss
Radiology:
- chest X-ray
Management:
- surgical resection indicated for patients with hemoptysis
- itraconazole, voriconazole, posaconazole
- asymptomatic patients with stable chest X-ray do not need treatment [1]
General
aspergillosis
References
- Medical Knowledge Self Assessment Program (MKSAP) 17, 18.
American College of Physicians, Philadelphia 2015, 2018.
- Medical Knowledge Self Assessment Program (MKSAP) 19
Board Basics. An Enhancement to MKSAP19.
American College of Physicians, Philadelphia 2022