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Updated: Aug 19, 2026

Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
Published on: March 9, 2018
[Clinical presentations of nosocomial aspergillosis]
M Borges Sá1, A Liebana-Fiederling
1Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Av. Andalucia, km 5,400, 28220 Madrid, España. marcbr@interlink.es
Abstract:
Aspergillus is a very ubiquitous fungal in our environment, including hospitals, being the second in frequency in colonization and infection, just after Candida spp. Aspergillus nosocomial infections have increased, because the number of immunocompromised patients has also increased. Nosocomial infections can be caused by different species of Aspergillus, being pulmonary manifestations the most frequent. Primary or secondary nonpulmonary infections can affect the brain, heart, kidney, eyes and other organs. The mortality due to invasive aspergillosis is very high, and a clinical-radiological suspicion and, specially the instauration of a rapid treatment with high doses of amphotericin B or its new formulations (associated with surgery in many times) may modify the mortality observed in this patients.
Insights
Aspergillus fungi cause frequent hospital infections, particularly in immunocompromised patients. Early diagnosis and treatment with amphotericin B are crucial for improving survival rates from invasive aspergillosis.
Area of Science:
- Mycology
- Infectious Diseases
- Hospital Epidemiology
Context:
- Aspergillus species are ubiquitous environmental fungi, frequently colonizing and infecting patients in healthcare settings.
- Aspergillus infections represent the second most common fungal cause of nosocomial infections after Candida species.
- The incidence of nosocomial aspergillosis is rising due to an increasing population of immunocompromised patients.
Purpose:
- To highlight the significance of Aspergillus as a nosocomial pathogen.
- To underscore the increasing threat of invasive aspergillosis in vulnerable patient groups.
- To emphasize the critical need for prompt diagnosis and aggressive treatment strategies.
Summary:
- Aspergillus causes a range of nosocomial infections, with pulmonary manifestations being most common.
- Nonpulmonary infections can affect vital organs including the brain, heart, and kidneys.
- Invasive aspergillosis carries a high mortality rate, necessitating rapid clinical-radiological suspicion and intervention.
Impact:
- Early detection and treatment, often involving amphotericin B and surgical intervention, can significantly reduce mortality.
- Understanding the epidemiology and clinical spectrum of Aspergillus infections is vital for infection control.
- This highlights the importance of antifungal stewardship and targeted therapies in managing invasive fungal infections.
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