New clinical presentations of invasive aspergillosis in non-conventional hosts.
Infections by Aspergillus spp. are most typically associated with invasive pulmonary aspergillosis. However, an increasing number of reports deal with unusual manifestations of invasive aspergillosis. In the lung this may take the form of chronic invasive pulmonary aspergillosis, bronchocentric granulomatosis or tracehobronchitis. A number of extrapulmonary infections have been noted, sometimes in immunocompetent individuals. Examples include vertebral osteomyelitis, primary cutaneous aspergillosis (such as in premature neonates), prosthetic vascular graft infection and infective endocarditis. Early recognition of these entities, prompt initiation of new, highly active antifungal therapies and adjunctive surgical management may improve the prognosis of these conditions.
Paterson
D L
DL
Division of Infectious Diseases, University of Pittsburgh Medical Center, Suite 3A, Falk Medical Building, Pittsburgh, PA 15213, USA. patersond@msx.dept-med.pitt.edu
D001228:Aspergillosis / Q000209:etiology*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D003881:Dermatomycoses / Q000209:etiology; D004696:Endocarditis / Q000209:etiology; D006801:Humans; D016377:Organ Transplantation / Q000009:adverse effects; D010019:Osteomyelitis / Q000209:etiology