212 - Aspergillosis Flashcards

1
Q

Immunocompetent patients with intensive exposure to 3, are in risk for aspergillosis infection.

A

construction
barn
compost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Incubation period is variable- between - days.

A

2-90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The main risk factor for aspergillosis infection is __.

A

immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Examples for immunosuppression etiologies: 4

A

high dose steroids
CGD (neutrophils/phagocytes dysfunction)
advanced HIV
leukemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Less prominent aspergillosis risk factors include: 4

A

pneumonia history
COPD
severe liver disease
iatrogenic immunomodulators (infliximab, ibrutinib)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the 3 risk factors for chronic aspergillosis?

A

COPD
TB
Hx pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 risk factors for allergic aspergillosis?

A

asthma
CF
bronchiectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Invasive pulmonary aspergillosis presentation include: 5

A
asymptomatic
fever
cough (hemoptysis/productive)
chest discomfort 
dyspnea
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Invasive pulmonary aspergillosis diagnosis is done only when there is a high suspicion. It is made by finding __ in the blood and __ showing __ sign.

A

antigen
CCT
halo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Invasive sinusitis aspergillosis is more common in __ and ___ patients.

A

leukemia

post BM transplantation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tracheobronchitis aspergillosis is more common in __

A

post lung transplantation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Bronchitis aspergillosis is more common in patients with __ or __.

A

CF

bronchiectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Disseminated aspergillosis syndrome is more common in patients with severe __. It spreads fast, causing low __ and light __ before dramatic deterioration and death.

A

immunosuppression
fever
sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the best diagnostic tool for brain aspergillosis?

A

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Chronic pulmonary aspergillosis can be seen in __ and mistaken for lung __.

A

PET-CT

cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Superficial aspergillosis such as keratitis/otitis externa, should be treated with ___ and __.

A

debridement

topical natamycin

17
Q

Diagnosis is made using __, __, __, __.

A

PCR
culture
antigen
histology

18
Q

Treating invasive aspergillosis lasts -.

A

3 months- years

19
Q

In allergic/chronic aspergillosis- treat with- ___

A

itraconazole

20
Q

Invasive aspergillosis treatment=___

A

voriconazole / isavuconazole

21
Q

Prophylaxis for aspergillosis=___

A

posaconazole / itraconazole

22
Q

Single aspergillosis treatment=___

A

surgery