Pulmonary aspergilloma

Pulmonary aspergilloma is a type of fungal infection where a fungal ball forms in the lung cavities. Generally, older males are likely to be affected by this infection.

The main cause of the Aspergillus fungus. Those who have underlying ailments such as cystic fibrosis or asthma and a weakened immune system are prone to develop the condition.

What are the indications?

Generally, most individuals with pulmonary aspergilloma do not show any signs of the condition. In some cases, it is accidentally discovered while undergoing imaging tests for other conditions.

Some individuals might have the following symptoms:


Generally, most individuals with pulmonary aspergilloma do not show any signs of the condition.

  • Coughing with or without sputum
  • Chest pain
  • Fever
  • Blood-streaked cough
  • Unintentional weight loss
  • Fatigue or tiredness

Management of pulmonary aspergilloma

Many individuals with pulmonary aspergilloma do not have any evident signs, thus treatment might not be necessary. In addition, the fungal ball in the lung stays the same size in most cases. Oftentimes, it might regress or resolve naturally without any form of treatment.

In some cases, the following measures might be taken into consideration:

  • If there is blood-streaked cough, treatment is required where emergency resuscitation by fluid and blood components is done especially in cases where the bleeding is severe. In addition, antifungal medications are also given.
  • Surgical resection of the affected cavity and extraction of the fungal ball might be an option if there is severe or recurrent bleeding.


The following measures can help prevent the condition:

  • Avoid areas where the aspergillus is present especially if the individual has underlying lung conditions or a weakened immune system.
  • In most cases, aspergillus thrives on dead leaves, compost pile, stored grains and decaying vegetation. Those who have certain health ailments must avoid these areas.


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