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Related to fungus ball: pulmonary aspergilloma


n. aspergiloma, masa redonda de Aspergillus hyphae que coloniza una cavidad existente en el pulmón.
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Rashid said about the ABPA disease that the Aspergillus fungus is common and it can grow on dead leaves, stored grain, bird droppings, compost stacks and other decaying vegetation although most people are frequently exposed to Aspergillus, infections caused by it such as a pneumonia or fungus ball are rare.
The term fungus ball (FB) refers to a noninvasive mycosis of the paranasal sinuses that affects immunocompetent hosts and frequently affects one single sinus.
Based on the culture results, the obstructing ureteral bezoar was suspected to be a fungus ball and a daily dose of 400 mg of oral fluconazole was started.
Pulmonary aspergilloma is usually located in the upper lobes and it develops in the pre-existing cavities which has a direct communication to a bronchiole, usually sequels of tuberculosis, bullous emphysema, cysts, or cancer.[sup][3],[4] The radiological signs include air crescent sign and finger-in-glove appearance and movement of the fungus ball within the cavity when comparing upright and decubitus, which strongly suggested the diagnosis of pulmonary aspergilloma.[sup][5] The “ball-in-hole” aspect was found in our patients, but, if observed closely, we can discover that the shape of the ball in the cavity was different between the supine and prone positions.
Oliguria, stranguria (difficult and painful urination), the passage of particulate matter, and/or pneumaturia suggest a complication such as the presence of a fungus ball. (17,19) Presently, 10%-15% of nosocomial UTIs are caused by Candida species.
Aspergilloma is defined as a fungus ball that is usually located in an existing cavity and does not invade the lung tissue [4].
Because a fungus ball secondary to Candida tropicalis was highly suspected at this time, intermittent bladder washouts with saline (2 L per time and 3 times per day) were performed via an indwelling three-cavity urinary catheter.
(2,6) A diagnosis of mycetoma should be considered when computed tomography (CT) demonstrates a focal mass or diffuse area of increased radiodensity and magnetic resonance imaging (MRI) shows a correlating marked decrease in intensity on T1- and T2-weighted imaging, making the fungus ball "invisible" as it blends with the adjacent air of the sinus.
THE distinctive white fungus ball is found in meadows, pastures and undergrowth, most commonly between July and November: rare examples have been recorded at 4ft in diameter.
It showed a cavitary mass (aspergilloma) with hyper- and hypodense areas corresponding fungal tissue (fungus ball) and filled with air (Fig.
Noninvasive disease comes in two forms: Allergic fungal sinusitis and mycetoma ("fungus ball").
These fungi may lodge in the airways or a distant part of the lung and grow until they form a compact sphere known as a "fungus ball." In people with lung damage or serious underlying illnesses, Aspergillus may grasp the opportunity to invade and actually infect the lungs or the whole body.