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July 4, 2011
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Bronchopulmonary aspergillosis, allergic pulmonary disease and bronchial tubes, similar on symptomatology for the beginning of pneumonia. Is caused by microscopic fungi – aspergilla. The fungus lives and breeds in the wet environment – in the soil on the street or in pots of house plants, in cells of birds and animals, on lattices of conditioners. Disputes of a fungus extend by air and get into airways of the person. However, the illness only at people with predisposition to an allergy to these disputes, generally at the patients who already have diseases of system of breath develops.
Symptoms of a bronchopulmonary aspergillosis
The illness arises in a wet and cold season, most often, suddenly. It is shown by sharp temperature increase, a fever, emergence of stethalgias, a loose cough, in clots emergence of traces of blood and lumps – accumulations of an aspergilla is possible. Displays of bronchial asthma amplify. At the started illness at the patient weakness, weight loss increases, the mold smell from a mouth appears, when listening wet rattles, noise in a pleura come to light.
Reproduction of a fungus in a mucous membrane of upper respiratory tracts of the patient, causes — a recurrent allergic inflammation in lungs. Alveoluses — air bubbles of lungs — are filled with eosinophils. In the started cases the inflammation causes a bronchietasia — permanent expansion of large respiratory tracts – and finally, in lungs fibrous fabric is formed.
Diagnosis of a bronchial aspergillosis
General blood test, research of a phlegm. At suspicion on symptoms of a bronchopulmonary aspergillosis, to all patients, for an assessment of a condition of bronchial tubes and tissue of a lung, conduct research of a respiratory organs — a X-ray analysis or a computer tomography.
Treatment of a bronchopulmonary aspergillosis
Treatment of a bronchopulmonary aspergillosis consists in elimination of clinical symptoms, breath function recovery. As the chemotherapy is ineffective, apply surgical methods to elimination of limited infiltrate — the lobectomy with excision of affected areas of a lung gives good effect. In most cases, operation proceeds without complications at patients and yields the positive long-term results.
In a complex carry out conservative treatment of a bronchopulmonary aspergillosis. Antibiotics – Amphotericinum drugs In, nystatin of sodium salt, Oxacillinum, erythromycin are appointed. It is necessary to consider that use of levomycetinum and antibiotics of tetracycline group as the aspergillomycosis promoting emergence is contraindicated. Vitamins and fortifying treatment are appointed.
The lethality of a bronchopulmonary aspergillosis makes 20-35%, and at persons having the immunodeficiencies which are not connected with HIV infection, about 50%. At a septic form the forecast even more adverse.
Prevention of a bronchopulmonary aspergillosis
Prevention consists in fight against dust and traumatism on the production obligatory carrying respirators by workers on grain stores, mills, the weaver's enterprises, vegetable storehouses. In hospitals purification of air with special air filters. Early recognition of an illness, also gives the chance to stop a bronchopulmonary aspergillosis.