AIM: To evaluate clinical manifestations of @entity281 in our pulmonology practice. METHODS: Between 2002-2009, we assessed retrospectively and prospectively, Aspergillus @entity66 in @entity1 admitted in Clinical Hospital of Pneumology from Cluj-Napoca, Romania. Positive diagnosis was based on identification of Aspergillus speciae (A spp) on Sabouraud medium, pathological, or immunological proves. RESULTS: 83 @entity1 were included. A spp was isolated in 73 @entity1 from: sputum 46, bronchial lavages (BL) 17, both sputum and BL 4, sputum and nasal secretion 1, or from surgical samples 5 cases. In those 10 cases without A spp positive cultures, diagnosis was confirmed by pathologic examination on surgical or bronchoscopical samples in 6 and 2 cases respectively. 76 @entity1 had previous chronic @entity1576 and 7 had nonrespiratory chronic diseases. We identified the following clinical forms: chronic @entity2381 46 cases, aspergillus tracheobronchitis 19 cases, @entity56 15 cases, invasive @entity2381 3 cases. We observed a poor definition on nosological forms, diagnosis like " @entity57 " or "aspergilloma" were the most common. In 12 cases no clinical significance was attributed for detection A spp in bronchial smears. 60 @entity1 supported specific management: antifungal therapy in 38 cases, surgical procedures in 14 cases and both methods in 8 cases, with many differences in treatment and follow-up. CONCLUSIONS: Chronic @entity2381 was the most frequent clinical form observed in our pulmonology practice. Using the clinical guidelines for fungal @entity1729 we can avoid the wrong diagnosis and then include a correct antifungal treatment in the complex management of our chronic pulmonary @entity1 .

[Respiratory features of XXXX in eight years of pulmonology practice].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity57 :: ('MESH:D055732', 'Disease') :: ['pulmonary aspergillosis'] @entity66 :: ('MESH:D004194', 'Disease') :: ['related diseases'] @entity281 :: ('MESH:D007239', 'Disease') :: ['Aspergillus infections'] @entity2381 :: ('MESH:D001228', 'Disease') :: ['cavitary aspergillosis', 'aspergillosis'] @entity56 :: ('MESH:D004342', 'Disease') :: ['allergic aspergillosis'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory diseases'] @entity1729 :: ('MESH:D012141', 'Disease') :: ['respiratory infections']
@entity281 :: (MESH:D007239,Disease) :: ['Aspergillus infection']
