Treatment of primary pulmonary aspergillosis: An assessment of the evidence

Ethan R. Stewart, George R. Thompson

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Aspergillus spp. are a group of filamentous molds that were first described due to a perceived similarity to an aspergillum, or liturgical device used to sprinkle holy water, when viewed under a microscope. Although commonly inhaled due to their ubiquitous nature within the environment, an invasive fungal infection (IFI) is a rare outcome that is often reserved for those patients who are immunocompromised. Given the potential for significant morbidity and mortality within this patient population from IFI due to Aspergillus spp., along with the rise in the use of therapies that confer immunosuppression, there is an increasing need for appropriate initial clinical suspicion leading to accurate diagnosis and effective treatment. Voriconazole remains the first line agent for therapy; however, the use of polyenes, novel triazole agents, or voriconazole in combination with an echinocandin may also be utilized. Consideration as to which particular agent and for what duration should be made in the individual context for each patient based upon underlying immunosuppression, comorbidities, and overall tolerance of therapy.

Original languageEnglish (US)
Article number25
JournalJournal of Fungi
Volume2
Issue number3
DOIs
StatePublished - Sep 2016

Keywords

  • Aspergillosis
  • Combination therapy
  • Echinocandins
  • Isavuconazole
  • Posacaonzole
  • Treatment
  • Voriconazole

ASJC Scopus subject areas

  • Ecology, Evolution, Behavior and Systematics
  • Plant Science
  • Microbiology (medical)

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