Aspergillus Bronchitis in Patients with Cystic Fibrosis

Claudia Brandt1, Jobst Roehmel1, Volker Rickerts2

  • 1Department of Pediatric Pneumology and Immunology, Cystic Fibrosis Center, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Mycopathologia
|August 19, 2017
PubMed

Insights

Aspergillus fumigatus colonization affects over 30% of cystic fibrosis patients. Antifungal treatment for Aspergillus bronchitis in CF patients can significantly reduce respiratory symptoms and improve lung function.

Area of Science:

  • Medical Mycology
  • Pulmonology
  • Infectious Diseases

Background:

  • Aspergillus fumigatus is a common airway colonizer in cystic fibrosis (CF) patients.
  • This colonization can lead to severe respiratory infections, including bronchitis.

Purpose of the Study:

  • To analyze the epidemiology of Aspergillus in CF patients.
  • To describe the clinical characteristics and treatment outcomes of Aspergillus bronchitis in CF.
  • To investigate diagnostic markers for Aspergillus bronchitis.

Main Methods:

  • Analysis of the German Cystic Fibrosis Registry (n=2599) for colonization rates.
  • Retrospective analysis of 10 treated cases of Aspergillus bronchitis.
  • Prospective cohort study (n=22) evaluating serological, molecular, and microbiological markers.

Main Results:

  • Aspergillus colonization rate in CF patients is 32.5%.
  • Retrospective analysis showed antifungal treatment improved cough, sputum production, and lung function.
  • Prevalence of Aspergillus bronchitis was estimated at 1.6% (retrospective) and 9% (prospective).

Conclusions:

  • Aspergillus bronchitis occurs in a subset of colonized CF patients.
  • Antifungal therapy is effective in alleviating symptoms and improving lung function in CF patients with Aspergillus bronchitis.

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