Download FREE Practo app
Get ₹200 HealthCash
Invasive Aspergillosis
My father (Age64) had a past history of Tuberculosis in 2013. Successfully did complete medication of 9 Month and no evidence of TB thereafter.
On 15th May he had cough with slight droplets of Blood. Since then, till today 25th 2020, sputum with blood not observed,
He is diabetic and currently taking antifungal Itraconazole 200 twice a day.
Sputum - Myco. Tuberculosis ----------- Not Detected
Galactomannan Serum ---------------2.04 (High)
Aspergillus IgG Antibody ------------14.64 (High)
Fungus Culture ----------------- Negative
Aspergillus IgM Antibody -------------4.6 Negative
IgE – Total Serum ------------------275 (High)
Blood Haemoglobin – 9.9 (Low)
X-ray – Fibrotic Calcification
CT Scan – Fibro-cavity changes with Fungal ball formation in the posterior segment of left upper lobe.
What should be our next approach.
Answers (4)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Aspergilloma can complicate an old tubercular cavity. Continue Itraconazole and consult pulmonologist for further management. Some people may need surgical removal if severe hemoptysis or any other complication . CT chest and Bronchoscopy may be required - but only after evaluated by pulmonologist , differ on case to case basis.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+131
Dr. Sunil Kumar
Pulmonologist
13 yrs exp
Udaipur
At present is no active tuberculosis. The concern is aspergillosis ball in old.tubercular cavity that can cause blood in sputum. Continue antifungal as it. If blood comes recurent then further management should be surgical removal after the consultation with pulmonologist.
Next Steps
pulmonologist opinion
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Santosh Jha
Respiratory Medicine
11 yrs exp
Delhi
hello..its aspergillus fungus complicating old tb cavity..
itra is one of the treatment used but still more potent antifungal can be better in such cases..consult a pulnonologist for the same.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Aditya Parihar
Pulmonologist
22 yrs exp
Nagpur
Hello noted above history and related concerns.
As you must be aware of past history of TB and association of diabetes is poorly taken.
As for as current reports No TB and No blood in sputum .
Next Steps
Continue antifungal drugs along with other bronchodilators and diabetes medication
Health Tips
Personal Online chat for further elaboration
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.