Bronchopulmonary aspergillosis

July 4, 2011

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Bronchopulmonary aspergillosis , Allergic pulmonary disease and bronchial-like symptoms at the beginning of pneumonia. It called microscopic fungi - Aspergillus . Fungus lives and breeds in wet environment - in soil on the street or in a potted house plants, birds in cages and animals lattice conditioners. Fungus spores spread through the air and enter the human respiratory tract. However, the disease develops only in individuals with a predisposition to an allergy on these arguments, generally in patients who already have the disease of respiratory system.

Symptoms of bronchopulmonary aspergillosis

The disease occurs during the wet and cold season, often suddenly. Manifested by a sharp rise in temperature, chills, occurrence of chest pain, cough wet, in clusters may cause lumps and traces of blood - clusters of Aspergillus. Increase the expression of asthma. When running of the disease in the patient's growing weakness, weight loss, there is a musty smell from the mouth, listening reveals crackles, murmurs pleura.

Reproduction of the fungus in the mucosa of the upper respiratory tract of the patient, causes - relapsing allergic inflammation in the lung. The alveoli   - Air bubbles are light - filled eosinophils . In severe cases, inflammation causes bronchiectasis   - Persistent airway large expansion - and ultimately in the lung formed fibrous tissue.

Diagnosis of bronchial aspergillosis

General blood analysis , Sputum. If you suspect symptoms of bronchopulmonary aspergillosis, all patients for evaluation of bronchial and lung tissue, are conducting a study of the respiratory system - X-ray or CT scan.

Treatment of bronchopulmonary aspergillosis

Treatment of bronchopulmonary aspergillosis is to eliminate clinical symptoms, recovery of respiratory function. Since chemotherapy   ineffective to eliminate the infiltration of limited use surgical methods - good effect lobectomy with excision of lesions of the lung. In most cases, the operation proceeds without complications in patients and gives a positive long-term results.

The complex is carried out conservative treatment of bronchopulmonary aspergillosis . Appointed antibiotics   - Preparations Amphotericin B . Nystatin   sodium salt, oxacillin . Erythromycin . Note that the use is contraindicated levomitsetina   and tetracyclines as contributing to the emergence of aspergillosis. Appointed vitamins   and restorative treatment.

Mortality is bronchopulmonary aspergillosis 20-35% And in individuals with immunodeficiencies Not associated with HIV infection, about 50% . When septic form prognosis is even more unfavorable.

Prevention of bronchopulmonary aspergillosis

Prevention is to combat dust and injuries in the workplace, workers are required to wear respirators in the granaries, mills, weaving factories, vegetable stores. In hospitals, clean air with special air filters. Early recognition of the disease, also makes it possible to stop the bronchopulmonary aspergillosis.