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Updated: Sep 5, 2026

Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
Published on: March 9, 2018
Abstract:
Aspergilli are widely distributed in nature and there is abundant opportunity to acquire infection. The fungus is usually only locally invasive in healthy tissues. Its culture from sputum on one occasion may have no significance. Its growth in the bronchial tree of asthmatics may produce sensitization with aggravation of the asthma and bronchial plugging. Multiplication in dead or damaged lung tissue such as infarcts is not uncommon. The fungus may also colonize pre-existing lung cavities, especially those remaining after treatment of tuberculosis. The ball of fungus produces a characteristic radiological picture, particularly on tomograms, which is usually sufficient to make the diagnosis. Hemoptysis is common. Inaction may be preferable to excision, especially in a patient with impaired lung function. Seven cases have been described to illustrate some of the features and natural history of the condition. The mounting number of sterile cavities left in lungs has increased the number of mycetomas which have developed.
Insights
Aspergillosis, a fungal infection caused by Aspergillus, commonly affects damaged lung tissue and can lead to aspergilloma. Diagnosis is often made via imaging, with conservative management frequently preferred for lung aspergilloma.
Area of Science:
- Mycology
- Pulmonology
- Infectious Diseases
Background:
- Aspergilli fungi are ubiquitous, posing infection risks.
- Infection is typically localized in healthy tissues but can affect compromised lungs.
- Colonization of pre-existing lung cavities, especially post-tuberculosis, is common.
Purpose of the Study:
- To describe the features and natural history of pulmonary aspergilloma.
- To illustrate diagnostic methods and management considerations for fungal ball in the lung.
- To highlight the increasing incidence of mycetomas in sterile lung cavities.
Main Methods:
- Review of seven clinical cases.
- Radiological assessment, including tomograms.
- Clinical observation of disease progression and treatment outcomes.
Main Results:
- Aspergilloma formation in lung cavities, particularly post-tuberculosis.
- Characteristic radiological findings aiding diagnosis.
- Common symptom of hemoptysis.
- Management strategies vary, with non-intervention often favored in patients with poor lung function.
Conclusions:
- Pulmonary aspergilloma is increasingly prevalent due to sterile lung cavities.
- Radiological imaging is key for diagnosis.
- Clinical presentation and patient lung function influence management decisions, often favoring conservative approaches.
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