[Complex respiratory aspergillosis: diagnostic and therapeuthic difficulties]

Abstract

Introduction: Respiratory aspergillosis with different physiopathologic mechanisms can be associated in one patient in rare occasions.

Case report: We review three cases associating an allergic bronchopulmonary aspergillosis (ABPA) and an other form of aspergillosis: aspergilloma, chronic necrotizing pulmonary aspergillosis and we present a review of literature.

Conclusion: Such associations result in diagnostic and therapeutic difficulties. Corticosteroid treatment used for ABPA can increase the risk of severe infections. Such cases are a good indication of systemic antifungal therapy.