title: [Complex respiratory aspergillosis: diagnostic and therapeuthic difficulties].
abstract: BACKGROUND
  Respiratory aspergillosis with different physiopathologic mechanisms can be associated in one patient in rare occasions.
  
  
  METHODS
  We review three cases associating an allergic bronchopulmonary aspergillosis (ABPA) and an other form of aspergillosis: aspergilloma, chronic necrotizing pulmonary aspergillosis and we present a review of literature.
  
  
  CONCLUSIONS
  Such associations result in diagnostic and therapeutic difficulties. Corticosteroid treatment used for ABPA can increase the risk of severe infections. Such cases are a good indication of systemic antifungal therapy.
authors.affiliation: Service de Pneumologie, Hôpital G. & R. Laennec, CHU de Nantes, France.
authors.forename: M
authors.initials: M
authors.lastname: Marcq
authors.forename: P
authors.initials: P
authors.lastname: Germaud
authors.forename: L
authors.initials: L
authors.lastname: Cellerin
authors.forename: C
authors.initials: C
authors.lastname: Sagan
authors.forename: E
authors.initials: E
authors.lastname: Chailleux
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged