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Chronic cavitary aspergillosis of the lungs. The walls of the cavity formation containing fungal hyphae are unevenly thickened, there are clear signs of inflammation and a reaction of the pleura. The process is multifaceted. There is an increase in the number and size of infiltrates. Symptoms of aspergilloma of Prednisone. For a long period of time, aspergilloma localized in the lung is asymptomatic. It is discovered by chance during a routine examination. As the formation grows, a persistent cough with greenish flaky sputum and streaks of blood in it joins. Often there is pulmonary hemorrhage. Symptoms of general intoxication are mild. Body temperature may occasionally rise to subfebrile values, there is moderate weakness and a slight gradual decrease in body weight.

Secondary infection of mycetoma with bacterial microflora is accompanied by febrile fever with chills, sweating. Coughing becomes more frequent, sputum becomes dirty-brown. There are chest pains that increase on inhalation, shortness of breath with little physical exertion, and signs of intoxication increase. A similar clinical picture is characteristic of many primary pulmonary processes. Symptoms of aspergilloma are often difficult to distinguish from manifestations of underlying diseases.

Sometimes (about 10% of cases) aspergilloma regresses spontaneously. However, expectant management of patients with this pathology is not used due to the high risk of developing dangerous complications. The wall of the mycetoma is well supplied with blood, and the mycelium of the fungus in the process of growth damages the vessels.

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In most patients with this kind of lung formations, hemoptysis develops over time. Massive pulmonary hemorrhage occurs in approximately one-third of patients and is often fatal. Another formidable complication of the pathological process is the progression of aspergillosis, the development of an invasive form of the disease with high (up to 90%) mortality.

Aspergilloma usually occurs in association with other persistent lung disease or its sequelae. Diagnostic search is carried out by pulmonologists together with infectious disease specialists. Sometimes this form of prednisone is difficult to differentiate from tuberculoma or lung neoplasm, and phthisiatricians and oncologists take part in the diagnosis.

When collecting an anamnesis, the professional activity of the patient and the presence of chronic pulmonary diseases are taken into account. On examination and physical examination, there are signs of underlying disease. The final diagnosis is established on the basis of:

On radiographs and CT of the lungs, single or multiple spherical shadows are determined, located more often in the upper lobes on one or both sides. The pathognomonic sign of mycetoma is the crescent symptom - the presence of a strip of air separating most of the fungal mass from the wall of the cavity. With a change in the position of the patient's body, intracavitary movement of the ball formed by aspergillus is observed - a symptom of a rattle. immunological tests. Antibodies to aspergillus - immunoglobulins G - are detected in the blood serum of most patients with pulmonary aspergilloma.

The exception is patients receiving long-term treatment with corticosteroid hormones. Serum antibodies are often not found in them. Microscopy and cultural diagnostics. Are accurateand, but not always informative diagnostic methods.

What clients say:




Treatment of aspergilloma of the lung. A unilateral process with the presence of multiple aspergilloma, with severe clinical manifestations, recurrent hemoptysis is an indication for pulmonectomy.




The prognosis largely depends on the severity of the course of the underlying disease and the state of immunity. Healthy immunocompetent persons recover completely after sparing surgical treatment.




A large volume of surgery (lobectomy, pulmonectomy) against the background of a reduced pulmonary reserve leads to the appearance of respiratory failure and disability of the patient. Death from massive pulmonary hemorrhage occurs in patients with untreated aspergilloma in 2-14% of cases.

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Preventive measures are reduced to regular x-ray examination of patients suffering from chronic diseases of the respiratory system, and timely treatment of background processes. Symptoms and treatment of aspergillosis in humans.

How Aspergillosis Develops Symptoms of aspergillosis with lung involvement Symptoms of acute invasive aspergillosis Symptoms of chronic pulmonary aspergillosis Signs and symptoms of aspergilloma Allergic bronchopulmonary aspergillosis (ABPA) Aspergillosis damage to other organs Septic form of aspergillosis Treatment of aspergillosis.

Aspergillosis is a serious fungal disease caused by various types of fungi of the genus Aspergillus.

Mushrooms live everywhere. Infection occurs by inhalation of conidia (spores) of pathogens. Aspergillosis is not transmitted from person to person. Workers of some specialties, people with weakened immunity, diabetes mellitus, who have undergone transplantation, long-term use of cytostatics, steroid hormones, antibiotics, undergoing radiation therapy are susceptible to the disease.

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