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Medicina (Buenos Aires)
versão impressa ISSN 0025-7680versão On-line ISSN 1669-9106
Resumo
LAMBERTO, Yesica et al. Invasive aspergillosis: definitions, diagnosis, and treatment. Medicina (B. Aires) [online]. 2023, vol.83, n.1, pp.82-95. ISSN 0025-7680.
Invasive aspergillosis (IA) is a serious disease with high mortality. There are several risk factors and in-hospital outbreaks related with construction have been described. An entity related to COVID-19 infection, known as COVID-19 associated pulmonary aspergillosis (CAPA), has recently appeared. Early and appropriate treatment is of paramount importance, especially in immunocompromised and critically ill patients. Diagnosis is based on recognition of predisposing factors, clinical signs, imaging, direct examination, culture, histopathology, and biomarkers such as galactomannan. The drug of choice is voriconazole, but alternative therapies must be taken into account given the increasing presence of resistant isolates.
Palavras-chave : Invasive mycosis; Galactomannan; Antifungals; Voriconazole; Aspergillosis.