Group: Patients and general interest
Description:
Video Interview with long-term ABPA patient who coughed up large sputum plugs. This patient had several episodes of pneumonia and developed bronchiectasis after diagnosis for a collapsed left lung. She was treated with inhaled corticosteroids and bronchodilators and progressed well. She was later diagnosed with possible ABPA (aspergillus precipitins were negative), after producing a large sputum plug which was positive for aspergillus hyphae. Her main symptoms were severe coughing with production of clear sputum. In December 04 her coughing became very severe and she coughed badly for 7 months. Her treatment was modified to include itraconazole (400mg/day solution- she required a higher dose than normal as she was taking other medication which reduced it’s absorption). 8 weeks later she started very severe bouts of coughing over 3 days – which produced a large number of small mucous plugs, finally a very large plug (resembling a piece of grey chewing gum) was coughed up. After this, the coughing subsided and the patient felt well and a chest X-ray at this time showed a significant improvement with clearing of shadows from the right lower lobe. Itraconazole levels have been reduced to 300mg per day and steroid intake reduced. The patient remained well in July 2007. We thank the patient for kindly providing this interview.
Medical and Patient education videos
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Title
Description
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Nasal aspergillosis in 8 years old dog with sneezing, reverse sneezing and epistaxis. After rhinoscopy the nasal cavity was flooded with 10% enilconazole solution during 60 min. We had to change the type of scope to clean the fungal plaque over the caudal recess of the right frontal sinus.
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Published on 31 Jan 2015 Dr Gemma Johnson, Public Health England
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Published on 10 Jul 2014.
Patient information video outlining the role of antibody testing in the management of Aspergillosis
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Published on 2 Nov 2013.
Gasping is a typical sign of aspergillosis in chicks.
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Published on 4 Apr 2013.
Placa micótica sobre cornete etmoidal con destrucción de turbinado. Perra mestiza de 9 años de edad con descarga nasal unilateral muco-sanguinolenta.
[Mycotic plate on ethmoid turbinate with tissue destruction. Bitch, 9 years old, nasal unilateral discharge.]
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Published on 27 May 2013.
Paper presented at the Annual Meeting of the Lebanese Pulmonary Society – Mövenpick Hotel – April 24th to 27th, 2013 – Beirut – Lebanon Conférence présentée lors du Congrès annuel de la Société Libanaise de Pneumologie – Hôtel Mövenpick – 24 au 27 avril 2013 – Beyrouth – Liban
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Moffe is a dog that got well from Nasal Aspergillosis. He is a collie, born with a brain damage, as has been documented with cerebral CT scan, he is blind at one eye and deaf at one ear, he is scared of strange places and slippery floors, and is skinny with poor appetite. When he was 7 years old, he was diagnosed with gingivitis and nasal Aspergillosis. According to scientific papers, Aspergillosis is hard to treat, and the veterinaries strongly recommended euthanasia. However, a dentist veterinarian proposed to try to retract some teeth. After this, he recovered. He did not receive any treatment for the Aspergillosis besides retraction of teeth. Now, more than two years ago, he has not had any more problems with his nose or his teeth. I hope this information could be of interest to other owners of dogs with Aspergillosis.
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Fighting the agile aspergillosis by David Denning
