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Aspergillus

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Aspergillus is a fungus that is presented in the air we breathe through its spores. It does not normally cause any illness however those with a weakened immune situation may be susceptible to Aspergillus infection. Chronic pulmonary aspergillus (CPA) has been given a variety of names. These disease entities all share common characteristics suggesting they belong to the same group of CPA disorders. There are no codified treatment guidelines as of yet for CPA. Bronchial artery embolization may stop hemoptysis. Surgery is not possible to be conducted because of impaired respiratory function or the severity of the comorbidity. Oral triazoles are the possible drug that can cure or reduce CPA. Unlike itraconazole, coriconasole has an in vitro fungicidal activity against Aspergillus. A research was conducted in Paris with the pneumology department (n=12) in teaching hospitals from November 2001 to May 2004 and treated with voriconazole. The patients were consistent with a diagnosis of CPA. The patients received voriconazole for the treatment of CPA except for SA with a follow up duration of at least six months until November 2004.
The following patients were released from the study due to 1.) Patients with possible CPA presenting negative Aspergillus antibody detection; 2.) Patients with SA, acute IPA, pseudomembranous tracheobronchitis aspergillosis, or allergic bronchopulmonary aspergillosis, 3.) patients with progressive tumoral or infectious lung disease at the time of diagnosis and 4.) Patients with cystic fibrosis or overy primary or secondary immune deficiency.
The data collected at the end of the trial were as following: forty patients who received voriconazole from November 2001 to May 2004 were identified. 24 cases of certain or probable CPA. 16 were not included because possible CPA (n=2); other forms of aspergillosis (n=3); and incomplete records or follow-ups for < 6 months (n=11).

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