Aspergilloma

An aspergilloma (syn. Aspergillus Myezetom ) is the colonized form of aspergillosis ( fungal infection ) that can occur at multiple sites.

• 2.1 Notes and references

Molding

Aspergilloma of the paranasal sinuses

Typically, only one side is affected. Aspergilloma grows noninvasively in the paranasal sinuses. It may take a long time remain undetected, initial symptoms can purulent discharge, nosebleeds or a feeling of pressure on the affected side to be. Radiographically, the aspergilloma shows as a shading of each sinus.

As a growth -promoting zinc oxide has proven itself. Since the root tips of the teeth in the upper jaw have a close positional relationship to the maxillary sinus, and within the limits of an endodontic treatment root filling material containing zinc oxide - eugenol, enter the paranasal sinuses.

As a therapy, surgical removal of the aspergilloma is made without damaging the mucosa of the maxillary sinus. This is done endoscopically if possible, through the nose. The aspergilloma appears as a greenish- black stone, consisting of necrotic fungal masses and from verstoffwechseltem calcium. Long-term effects are not expected.

Aspergilloma of the lung

Also in the lungs may be in already existing ( pre-formed ) caves, about Lungenemphysemblasen infected or scar tissue after inflammation (eg, tuberculosis), form an aspergilloma. It has a typical X-ray findings, which moves the round aspergilloma depending on body location in the cave. This finding serves to confirm the diagnosis.

Furthermore, laboratory values ​​are increased in the blood ( total IgE, radio Allergo - sorbent test ( RAST to Aspergillus, type I and III serology) ). Sometimes let the Aspergillus from the bronchial win by bronchoscopy. Complications are further infection of the cavity with bacteria and especially the life-threatening hemorrhage from the cave wall of the bronchi in the whole lung. The patient suffers hemoptysis. Thus, the time for surgical removal of the lobe of the lung is given in which the cave is located with the aspergilloma. Thereafter, the patient is cured. A newer method consists in the intravenous treatment with intense and expensive one of the newer antifungal agents ( antimycotics ), in particular if there is no bleeding occurred and the patient is not capable of operation.