[Clinical presentations of nosocomial aspergillosis].
Aspergillus is a very ubiquitous fungal in our environment, including hospitals, being the second in frequency in colonization and infection, just after Candida spp. Aspergillus nosocomial infections have increased, because the number of immunocompromised patients has also increased. Nosocomial infections can be caused by different species of Aspergillus, being pulmonary manifestations the most frequent. Primary or secondary nonpulmonary infections can affect the brain, heart, kidney, eyes and other organs. The mortality due to invasive aspergillosis is very high, and a clinical-radiological suspicion and, specially the instauration of a rapid treatment with high doses of amphotericin B or its new formulations (associated with surgery in many times) may modify the mortality observed in this patients.
Borges Sá
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M
Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Av. Andalucia, km 5,400, 28220 Madrid, España. marcbr@interlink.es
Liebana-Fiederling
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A