Table I:
Disease: | Clinical syndromes: | Common patient populations and notes: |
---|---|---|
Invasive aspergillosis (tissue-invasive hyphae ± angioinvasion) | Pneumonia and systemic disease; CNS most common site of dissemination | Patients with acute leukemia, lymphoma, myelodysplastic syndrome, aplastic anemia, and allogeneic hematopoietic cell transplant recipients; lung and heart transplant recipients Most common species: A. fumigatus (~60–70%), A. flavus, A. niger, A. terreus, A. versicolor, A. ustus, A. lentulus, A. nidulans (only in chronic granulomatous disease patients) |
Aspergillus keratitis | Ocular disease caused by hyphal growth in humans with corneal damage | Agricultural workers in resource-limited countries |
Chronic pulmonary aspergillosis (hyphae in pre-existing lung cavity) | Pneumonia, typically observed with structural lung disease | Chronic obstructive lung disease, bronchiectasis, sarcoidosis, previously treated tuberculosis |
Aspergillus-associated allergic disease | Allergic bronchopulmonary aspergillosis (ABPA), extrinsic allergic alveolitis | ABPA occurs primarily in patients with atopic asthma and cystic fibrosis |