Aspergillus and the Lung

Iris Janssens1,2,3, Bart N Lambrecht1,2,3,4, Eva Van Braeckel1,2

  • 1Department of Internal Medicine and Paediatrics, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

Insights

Pulmonary aspergillosis, caused by Aspergillus, presents diverse lung diseases. This review categorizes clinical entities by pathophysiology and summarizes key diagnostic findings.

Area of Science:

  • Medical Mycology
  • Pulmonology
  • Immunology

Background:

  • Aspergillus, a filamentous fungus, causes significant lung diseases, with Aspergillus fumigatus being particularly pathogenic and allergenic.
  • The clinical presentation of pulmonary aspergillosis is highly variable and depends on the complex interplay between the host's immune system and the fungus.
  • Understanding these host-pathogen interactions is crucial for diagnosing and managing the spectrum of aspergillosis-related lung conditions.

Approach:

  • This review provides a comprehensive overview of pulmonary aspergillosis.
  • Clinical entities are systematically categorized based on their primary pathophysiological mechanisms.
  • Key diagnostic findings across clinical, radiological, biochemical, microbiological, and histopathological domains are summarized.

Key Points:

  • Pulmonary aspergillosis encompasses a range of diseases driven by Aspergillus species.
  • Pathophysiological mechanisms dictate the diverse clinical manifestations.
  • Diagnostic evaluation requires integrating findings from multiple modalities.

Conclusions:

  • A clear understanding of the pathophysiological basis of pulmonary aspergillosis aids in clinical differentiation.
  • Comprehensive diagnostic summaries support accurate identification and management of lung infections caused by Aspergillus.
  • Further research into host-pathogen interactions can refine therapeutic strategies for aspergillosis.

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