fungus 4 Flashcards

1
Q

what are the 3 common pathogenic species of aspergillosis

A
  1. aspergillus fumigatus (most common)
  2. aspergillus flavus
  3. aspergillus niger
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2
Q

the spectrum of diseases of aspergillosis is attributed to what factors?

A
  1. allergy
  2. colonization
  3. tissue invasion
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3
Q

aspergillosis can be found where

A

everywhere; but ubiquitous in the environment

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4
Q

if aspergillosis colonization is a problem in what type of patients

A
  1. asthma
  2. cystic fibrosis
  3. chronic sinusitis
  4. chronic obstructive airway disease
  5. cavitary lung disease
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5
Q

If an aspergillosis infection colonizes and becomes invasive what can occur

A
  1. acute pneumonia
  2. chronic necrotizing pneumonia
  3. dissemination
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6
Q

who is at risk for aspergilloma (ball of fungus sitting in lung)

A

chronic sinusitis
chronic obstructive airway disease
cavitary lung disease

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7
Q

what are the risk factors for allergic bronchopulmonary aspergillosis

A

cystic fibrosis and asthma

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8
Q

what are the risk factors for aspergilloma

A

underlying lung diseases:
chronic sinusitis
chronic obstructive airway disease
cavitary lung disease

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9
Q

what are the risk factors for invasive aspergillosis

A

immunocompromised status

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10
Q

what are the risk factors for chronic pulmonary aspergillosis

A

underlying lung disease

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11
Q

what are the risk factors for superficial aspergillus infections

A

immunocompromised status

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12
Q

what are the problems for cultures when diagnosing aspergillosis

A

cultures are often false negatives

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13
Q

what is a helpful diagnosis tool for aspergillosis

A

galactomannan antigen test

very sensitives so negative = safe; positive = maybe

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14
Q

what is the treatment for invasive pulmonary aspergillosis (IPA)

A

voriconazole

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15
Q

what is the treatment for invasive sinus aspergillosis

A

voricaonazole

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16
Q

what is the prophylactic therapy for invasive aspergillosis

A

posaconazole

17
Q

what is the treatment for chronic cavitary pulmonary aspergillosis

A

itraconazole or voriconazole

18
Q

what is the treatment for allergic bronchopulmonary aspergillosis (no infection; allergic reaction)

A

itraconazole

19
Q

what is the treatment for aspergilloma

A

no therapy; surgical intervention may be required

20
Q

what aspergillus relatedconditions is voriconazole the primary therapy

A
  1. IPA (invasive pulmonary aspergillosis)
  2. invasive sinus aspergillosis
  3. tracheobronchial aspergillosis
  4. chronic necrtizing pulmonary aspergillosis
  5. CNS aspergillosis